Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP NEIL BURK, D.P.M.
ActivePodiatrist · NAMPA, ID
Registration Details
- NPI Number
- 1699763540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.521890118085 yrs)
- Last Updated
- Dec 5, 2008
- Licenses
-
P-99 (ID)P-99 (ID)
Practice Information
- Address
-
203 12TH AVE RDSUITE ANAMPA, ID, 836865012Browse ID providers · Browse ZIP 83686
- Phone
- 2084663338
- Fax
- 2084663554
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Foot Surgery Podiatrist
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.