Individual
CASEY C BURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4750 W OAKEY BLVD STE 1A, LAS VEGAS, NV 89102-1535
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2010
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922437821
—
NV
Enumeration date
11/01/2013
Last updated
05/11/2020
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