Individual provider · NPI-1

Dr. Linda D Burke, MD

Family Medicine · Eagle, ID

NPI number1376581124
StatusActive
Last updated in NPPESMar 28, 2008

Details

NPI
1376581124
Entity type
Individual (NPI-1)
Name
Dr. Linda D Burke
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2006
Last updated
Mar 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM4709IDYes

Practice location

445 S Fitness Pl
Ste130
Eagle, ID 83616-6552

Phone 208-939-2332 · Fax 208-939-7676

Mailing address

Po Box 2287
Eagle, ID 83616-9114

Phone 208-939-2332 · Fax 208-939-7676

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