Individual
DR. JOHN K. BURGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 CLYDE MORRIS BLVD STE C, ORMOND BEACH, FL 32174-5909
(386) 673-5100
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 870-9364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35060981
OH
208800000X
Urology Physician
Primary
ME158380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0822668
—
OH
Enumeration date
07/17/2006
Last updated
02/01/2023
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