Individual
DR. BRUCE LEMONT BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 COHASSET RD, SUITE 370, CHICO, CA 95926-2241
(530) 895-3333
(530) 895-3217
Mailing address
1531 ESPLANADE, ATTN: FINANCE, CHICO, CA 95926-3310
(530) 332-7479
(530) 893-6853
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A23436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A234360
—
CA
01
—
140006655
RR MEDICARE
CA
Enumeration date
05/18/2006
Last updated
03/19/2014
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