MEDICARE: CHESTER LEE BURKS JR. D.O.

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
1	207Q00000X	Family Medicine Physician	27067	CO

General Provider Information

NPI Number	:	1922283134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHESTER LEE BURKS JR. D.O.

Provider Business Mailing Address
First Line	:	9100 E FLORIDA AVE BLDG 8
Second Line	:	DENVER
City	:	DENVER
State	:	CO
Zip	:	80247-2845
Country	:	US
Telephone Number	:	303-750-3013
Fax Number	:	303-750-3013

Provider Business Practice Location Address
First Line	:	9100 E FLORIDA AVE BLDG 8
Second Line	:	SUITE108
City	:	DENVER
State	:	CO
Zip	:	80247-2845
Country	:	US
Telephone Number	:	303-750-3013
Fax Number	:	303-750-3013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	04/19/2026

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