Burge, William R

Burge, William R is an individual health care provider with primary practice located at 3269 Stockton Hill Rd , Kingman AZ 86409-3619. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Burge, William R can be contacted via phone (928) 753-7776.

Contact Information

Primary practice address
3269 Stockton Hill Rd Kingman AZ 86409-3619
Phone: (928) 753-7776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32154 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32154 Arizona

Profile Details

NPI number 1669503090
LBN Legal business name Burge, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669503090 NPPES
Arizona MEDICAID 842494

Popular Providers