Doctor Name: | RICHARD A BURGMEIER |
NPI Number: | 1508845934 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20130 |
Business Practice Address: | 2177 E Warner Rd Suite 105 Tempe, AZ - 852843511 |
Business Phone Number: | 4808973623 |
Business Fax Number: | |
Mailing Address: | 2177 E Warner Rd, Suite 105 TEMPE |
State: | AZ |
Postal Code: | 852843511 |
Phone Number: | 4808973623 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |