CHARLES ROBERT BURDETTE

RAINELLE, WV
NPI1750660502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  ED0220A)
Enumeration Date2011-08-11
Last Update Date2020-09-17
Business Address
CHARLES ROBERT BURDETTE D.O.
1515 SNOWDEN RD
RAINELLE, WV 25962-6585
Phone number: 304-438-5614
Mailing Address
CHARLES ROBERT BURDETTE D.O.
5495 MAPLE LN
FAYETTEVILLE, WV 25840-6872
Phone number: 304-574-0120