Individual
DR. THOMAS M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 473-6768
(307) 473-6766
Mailing address
6600 E 2ND ST, CASPER, WY 82609-4348
(307) 473-6768
(307) 473-6766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3300A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106696000
WYOMING MEDICAID
WY
01
—
110004729
RAILROAD MEDICARE
WY
01
—
304494
BLUE SHIELD
WY
Enumeration date
07/10/2006
Last updated
12/23/2020
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