Doctor Name: | BRANDON A BURK |
NPI Number: | 1568634509 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 39000 Bob Hope Dr Dept Of Rancho Mirage, CA - 922703221 |
Business Phone Number: | 7607731251 |
Business Fax Number: | 8004097005 |
Mailing Address: | Po Box 280, House Staff Office Cp 21005 RANCHO MIRAGE |
State: | CA |
Postal Code: | 922700280 |
Phone Number: | 7603403911 |
Fax Number: | 8004097005 |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |