Deland Darrell Burks, MD
Radiology, Diagnostic Radiology in Fort Smith, AR. Individual provider (NPI-1).
NPI number1528034873
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1528034873
- Entity type
- Individual (NPI-1)
- Name
- Deland Darrell Burks
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Apr 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | N7610 | AR | Yes |
Practice location
5707 Jenny Lind RdFort Smith, AR 72908-7435
Phone 479-452-9416 · Fax 479-484-0827
Mailing address
Po Box 3887Fort Smith, AR 72913-3887
Phone 479-452-9416 · Fax 479-484-0827
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