Doctor Name: | ROBERT W BURKE |
NPI Number: | 1174519839 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110840543 |
Business Practice Address: | 70 Medical Center Cir Suite 305 Fishersville, VA - 229392273 |
Business Phone Number: | 5409325687 |
Business Fax Number: | 5409325688 |
Mailing Address: | Po Box 388, FISHERSVILLE |
State: | VA |
Postal Code: | 229390388 |
Phone Number: | 5409325687 |
Fax Number: | 5409325688 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110840543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |