Individual
LARRY DALE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6025 WALNUT GROVE RD STE 311, MEMPHIS, TN 38120-2123
(901) 683-6166
Mailing address
6025 WALNUT GROVE RD STE 311, MEMPHIS, TN 38120-2123
(901) 683-6166
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD10602
TN
Other
Enumeration date
08/28/2006
Last updated
04/09/2014
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