Individual
DR. THOMAS M BURKE
Active
Individual
DR. THOMAS M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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