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Individual

ALAN J BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
161 WADSWORTH DR, RICHMOND, VA 23236-4500
(804) 484-3700
(804) 320-6462
Mailing address
161 WADSWORTH DR, RICHMOND, VA 23236-4500
(804) 484-3700
(804) 320-6462

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101230663
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6501591
VA
Enumeration date
07/08/2005
Last updated
12/28/2010
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