Individual
DR. JOHN M. BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2800
(570) 321-6490
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019632E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007832260001
—
PA
Enumeration date
09/26/2005
Last updated
01/12/2012
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