Individual
ANTHONY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6101 NORTHWEST BLVD, DAVENPORT, IA 52806-1861
(563) 449-7004
Mailing address
506 LEE CT, DE WITT, IA 52742-1768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
078705
IA
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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