NPI 1598035917
P. Roman Burk DPM, PC
Practice location
- Address
- 1818 S 10th Ave Suite 250, Caldwell, ID 83605-4803
- Phone
- (208) 459-0891
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Philip Burk
- Title
- Owner
- Phone
- (208) 459-0891
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1598035917
- Entity type
- Organization
- NPI issued
- 2 Jan 2012
- Record last updated
- 26 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.