Individual
DAVID BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4740
(405) 945-4751
Mailing address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4740
(405) 945-4751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24059
OK
2085R0202X
Diagnostic Radiology Physician
48782
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200245940A
—
OK
05
—
65859031
—
CO
01
—
P00974067
MEDICARE RAILROAD LLC
OK
Enumeration date
06/03/2007
Last updated
07/27/2015
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