Individual
RICHARD M BURGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, DEPT OF EMERGENCY MEDICINE, BAMC, FORT SAM HOUSTON, TX 78234-4501
(210) 916-1006
Mailing address
3851 ROGER BROOKE DR, DEPT OF EMERGENCY MEDICINE, BAMC, FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01071266A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2010
Last updated
09/18/2013
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