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NPI Code Detail

MEDICARE: PAUL BURES DO

MEDICARE: PAUL BURES DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1821855842
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL BURES DO
Provider Business Mailing Address
First Line : 2277 W 19TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4255
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9417 BROADVIEW RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2307
Country : US
Telephone Number : 440-545-2272
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAUL R BURES
Credential : DO
Telephone Number : 614-214-6390
Provider Enumeration Date : 03/05/2024
Last Update Date : 08/26/2024

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