Derek Burkum is a Physician Assistant in Phoenix, Arizona. Derek Burkum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derek Burkum is 1760671200. The last update date is 2017-03-08.
Derek Burkum's current location address is 3929 E Bell Rd, Phoenix, Arizona. You can contact this provider via phone number 6029235622. The mailing address for Derek Burkum is 3929 E Bell Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Burkum |
|---|---|
| Address | 3929 E Bell Rd, Phoenix, Arizona |
| Phone Number | 6029235622 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1760671200 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2017-03-08 |
Provider Mailing Address Detail
| Address | 3929 E Bell Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850322112 |
| Phone Number | 6029235622 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4501 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Derek Burkum by the Centers for Medicare & Medicaid Services?
The Derek Burkum has been assigned the NPI (National Provider Identifier) 1760671200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Derek Burkum is geographically located?
The Derek Burkum is physically situated at the following location: 3929 E Bell Rd, Phoenix, AZ, 850322112.
What is Derek Burkum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek Burkum's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Derek Burkum receive its 1760671200 assignment from the Centers for Medicare & Medicaid Services?
The Derek Burkum was assigned its 1760671200 by the Centers for Medicare & Medicaid Services on 2007-10-22.
When was the information pertaining to Derek Burkum most recently updated or revised?
The details related to Derek Burkum, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-08.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA