Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD M BURDOCK, DC CCSP
Active Sole ProprietorEDWARD M BURDOCK, DC CCSP is a Sports Physician (Chiropractor) healthcare provider located in WASHINGTON, Iowa. NPI 1417086760 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · WASHINGTON, IA
Registration Details
- NPI Number
- 1417086760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2007 (19.26501582109 yrs)
- Last Updated
- Mar 26, 2009
- Licenses
-
A06120 (IA)A06120 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 S MARION AVEWASHINGTON, IA, 523531744Browse IA providers · Browse ZIP 52353
- Phone
- 3196533573
- Fax
- 3196533573
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Sports Physician (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.