Individual
DR. BURKE DELANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5171 CUB LAKE RD, SUITE C 350, SHOW LOW, AZ 85901-7888
(928) 537-8285
Mailing address
PO BOX 2558, SHOW LOW, AZ 85902-2558
(928) 537-8285
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
005292
AZ
2086S0129X
Vascular Surgery Physician
J2871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175753601
—
TX
Enumeration date
01/24/2006
Last updated
08/17/2009
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