Healthcare Provider Details

I. General information

NPI: 1699769422
Provider Name (Legal Business Name): DAVID J BURRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60881 COUNTY ROAD 9
NEWCOMERSTOWN OH
43832-9304
US

IV. Provider business mailing address

60881 COUNTY ROAD 9
NEWCOMERSTOWN OH
43832-9304
US

V. Phone/Fax

Practice location:
  • Phone: 740-498-9828
  • Fax: 740-498-9761
Mailing address:
  • Phone: 740-498-9828
  • Fax: 740-498-9761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35069136B
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: