P. Roman Burk Dpm, PC

NPI #1598035917 in Caldwell, Idaho

Provider Information

NPI Number
1598035917
Entity Type
Organization
Organization Name
P. Roman Burk Dpm, PC
Subpart
Yes (part of a larger organization)
Parent Organization
P. ROMAN BURK DPM, PC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 2, 2012
Last Updated
Apr 26, 2012

Practice Location

Address
1818 S 10TH AVE
Address 2
SUITE 250
State
Idaho
ZIP Code
83605-4803
Phone
(208) 459-0891

Authorized Official

Name
DR. PHILIP BURK, DPM
Title
OWNER
Phone
(208) 459-0891

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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