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Organization

RONALD A. BURKS OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD A BURKS OD (PRESIDENT)
(501) 835-3937
Entity
Organization

Contact information

Practice address
305 E KIEHL AVE, SHERWOOD, AR 72120-2921
(501) 835-3937
(501) 835-2040
Mailing address
305 E KIEHL AVE, SHERWOOD, AR 72120-2921
(501) 835-3937
(501) 835-2040

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2273
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166692722
AR
01
410000403
RAILROAD MEDICARE
AR
01
5F895
AR BLUECROSS BLUESHIELD
AR
01
DG7408
RAILROAD MEDICARE
AR
Enumeration date
12/21/2006
Last updated
01/19/2010
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