MEDICARE: WILLIAM BURKE DPM

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	213ES0131X	Foot Surgery Podiatrist	0579	AZ
2	213ES0103X	Foot & Ankle Surgery Podiatrist	0579	AZ

General Provider Information

NPI Number	:	1417903550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BURKE DPM

Provider Business Mailing Address
First Line	:	3110 E BROOKWOOD CT
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7778
Country	:	US
Telephone Number	:	480-735-1589
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 E BROOKWOOD CT
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7778
Country	:	US
Telephone Number	:	480-735-1589
Fax Number	:

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	10/01/2024

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Directions to “ WILLIAM BURKE DPM” Practice Location

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