Individual
DR. DAVID SCOTT BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
255 S CHESTNUT ST, MONROVIA, IN 46157
(317) 996-6200
(317) 996-3103
Mailing address
PO BOX 215, MONROVIA, IN 46157-0215
(317) 996-6200
(317) 996-3103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199904
ANTHEM
IN
05
—
200310660 A
—
IN
01
—
350050897
RAILROAD MEDICARE
IN
01
—
7788183
AETNA
IN
Enumeration date
11/13/2006
Last updated
07/08/2007
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