| NPI | 1184703852 |
|---|---|
| Doing Business As | JAMES S BURKE JR MD |
| Entity Type | Organization |
| Authorized Contact | LARRY POLLEY Executive Dir 314-569-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MO R7N93) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |