Individual
DR. PATRICK R BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30995 SW LARSON RD, LEBANON, OR 97355-9272
(541) 258-2021
Mailing address
30995 SW LARSON RD, LEBANON, OR 97355-9272
(541) 258-2021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11545
CO
Other
Enumeration date
02/17/2008
Last updated
02/17/2008
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