James Booth Burke MD

NPI 1053315903 - Surgery - 208600000X

NPI Details
NPI 1053315903
Gender Male
Enumeration Date 06/09/2005
Last Updated 11/02/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2751 ALBERT BICKNELL DRIVE
SUITE 3A
SHREVEPORT LA, 71103-3976, US
Phone (318) 636-9905
Fax (318) 636-5102
Business Location
P.O. BOX 3858
SHREVEPORT LA, 71133-3858, US
Phone (318) 636-9905
Fax (318) 636-5102
Toxanomy
Taxonomy Code 208600000X
License State Louisiana
License Number 10891R
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According to our database, Dr. James Booth Burke MD NPI is 1053315903, taxonomy code is 208600000X and license number is 10891R, license state is located at Louisiana. James Booth Burke MD physically located at 2751 Albert Bicknell Drive, Shreveport LA, 71103-3976. NPI Number James Booth Burke MD has the Individual type.

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1053315903 NPI number is provided on an as is basis without warranty of any kind. 1053315903 is maintained by the National Plan & Provider Enumeration System. The contents of James Booth Burke MD are for informational purposes only.