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NPI Code Detail

MEDICARE: DR. ANDREW D BURCH SR. M.D.

MEDICARE: DR. ANDREW D BURCH SR. M.D.
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
1208600000XSurgery Physician2893AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3020038950OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111209124OTHERALCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
451000820OTHERALBLUE CROSS BLUE SHEILD

General Provider Information

NPI Number : 1891750576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW D BURCH SR. M.D.
Provider Business Mailing Address
First Line : 6701 AIRPORT BLVD
Second Line : SUITE B217
City : MOBILE
State : AL
Zip : 36608-6705
Country : US
Telephone Number : 251-633-8881
Fax Number : 251-633-0467
Provider Business Practice Location Address
First Line : 6701 AIRPORT BLVD
Second Line : SUITE B217
City : MOBILE
State : AL
Zip : 36608-6705
Country : US
Telephone Number : 251-633-8881
Fax Number : 251-633-0467
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 01/05/2010

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