Organization
UNIVERSITY SUBURBAN GYNECOLOGISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M BURKONS M.D. (PRESIDENT)
(216) 381-3880
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, #204, SOUTH EUCLID, OH 44121-4128
(216) 381-3880
(216) 381-8276
Mailing address
1611 S GREEN RD, #204, SOUTH EUCLID, OH 44121-4128
(216) 381-3880
(216) 381-8276
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35040676B
OH
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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