Individual
JOAN MARIE BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2500 GRANT ROAD, MOUNTAIN VIEW, CA 94040
(650) 940-7055
Mailing address
2100 POWELL STREET, STE 920, EMERYVILLE, CA 94608-1803
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C43159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C431590
—
CA
Enumeration date
05/24/2006
Last updated
11/20/2007
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