Organization
MOBILE SURGICAL CENTER PA
Active
Other names
Andrew D Burch MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D BURCH MD (PRES)
(251) 633-8881
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE B217, MOBILE, AL 36608-6705
(251) 633-8881
(251) 633-0467
Mailing address
6701 AIRPORT BLVD, SUITE B217, MOBILE, AL 36608-6705
(251) 633-8881
(251) 633-0467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2893
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000820
—
AL
01
—
020038950
RAIL ROAD MEDICARE
AL
01
—
51000820
BLUE CROSS
AL
Enumeration date
10/19/2006
Last updated
01/05/2010
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