Bret O Burquest Md Pa | |
1515 Mockingbird Lane Suite 530 Charlette NC 28209 | |
(704) 541-0800 | |
Not Available |
Full Name | Bret O Burquest Md Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1515 Mockingbird Lane, Charlette, North Carolina |
Authorized Official Name and Position | Bret Burquest (PRESIDENT) |
Authorized Official Contact | 7045410800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bret O Burquest Md Pa 1515 Mockingbird Lane Suite 530 Charlette NC 28209 Ph: () - | Bret O Burquest Md Pa 1515 Mockingbird Lane Suite 530 Charlette NC 28209 Ph: (704) 541-0800 |
NPI Number | 1609986785 |
---|---|
Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609986785 | NPI | - | NPPES |
8919926 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 29082 (North Carolina) | Primary |