Organization
BURKE MAYS P.A.
Active
Other names
Burke Mays P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURKE RAFER MAYS D.C. (PRESIDENT)
(612) 242-0045
Entity
Organization
Contact information
Practice address
6200 EXCELSIOR BLVD, SUITE 203, ST LOUIS PARK, MN 55416-2730
(952) 925-4639
(952) 925-2404
Mailing address
6200 EXCELSIOR BLVD, SUITE 203, ST LOUIS PARK, MN 55416-2730
(952) 925-4639
(952) 925-2404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3502
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428717700
—
MN
01
—
476M4CH
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
11/01/2006
Last updated
02/17/2011
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