Organization
SKAGIT OSTEOPOROSIS DETECTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T BURKE MD (PARTNER)
(360) 424-6161
Entity
Organization
Contact information
Practice address
1320 E DIVISION, MOUNT VERNON, WA 98274-4196
(360) 424-6161
(360) 848-1167
Mailing address
1320 E DIVISION, MOUNT VERNON, WA 98274-4196
(360) 424-6161
(360) 848-1167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115379
L&I
WA
05
—
7085079
—
WA
Enumeration date
08/29/2006
Last updated
02/01/2008
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