P. ROMAN BURK DPM, PC

CALDWELL, ID
NPI1598035917
Entity TypeOrganization
Authorized ContactPHILIP BURK
Owner
208-459-0891
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-01-02
Last Update Date2012-04-26
Business Address
P. ROMAN BURK DPM, PC
1818 S 10TH AVE SUITE 250
CALDWELL, ID 83605-4803
Phone number: 208-459-0891
Mailing Address
P. ROMAN BURK DPM, PC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809