J Gordon Burch Md Pllc | |
4461 Starkey Rd Suite 101 Roanoke VA 24018-0620 | |
(540) 342-0211 | |
(540) 344-5543 |
Full Name | J Gordon Burch Md Pllc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 4461 Starkey Rd, Roanoke, Virginia |
Authorized Official Name and Position | J Gordon Burch (SOLE OWNER) |
Authorized Official Contact | 5403420211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J Gordon Burch Md Pllc 4461 Starkey Rd Suite 101 Roanoke VA 24018-0620 Ph: (540) 342-0211 | J Gordon Burch Md Pllc 4461 Starkey Rd Suite 101 Roanoke VA 24018-0620 Ph: (540) 342-0211 |
NPI Number | 1306135744 |
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Provider Enumeration Date | 04/06/2011 |
Last Update Date | 06/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306135744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 0101030765 (Virginia) | Primary |
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