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Individual

DR. THOMAS B. BURKHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 781-2727
(417) 625-2910
Mailing address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 781-2727
(417) 625-2910

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2011005761
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2011005761
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4704024
MI
Enumeration date
11/25/2005
Last updated
03/26/2014
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