P. Roman Burk DPM, PC
Organization Active NPI Non-Pharmacy Dispensing Site · Caldwell, ID
NPI 1598035917 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1598035917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- P. ROMAN BURK DPM, PC
- Practice address
- 1818 S 10TH Ave
Suite 250
Caldwell, ID 83605-4803 - Phone
- (208) 459-0891
- NPI assigned
- Jan 2, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- P. ROMAN BURK DPM, PC
Authorized official
- Name
- Dr. Philip Burk, DPM
- Title
- Owner
- Phone
- (208) 459-0891
Corporate family (same tax ID) 3
Practitioners 1
-
P. Roman Burk, D.P.M.
National Provider Directory
- Tax ID family
- P Roman Burk DPM PC
- Part of
- P Roman Burk DPM PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
1818 S 10TH Ave
Suite 250
Caldwell, ID 83605-4803
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other names
- Foot & Ankle Medical Center
Other providers in Caldwell, ID
- Maria Del Rocio Ortiz
- Christopher Edward Otoole
- Todd M Otstot
- Mary Lu Owens
- P. Roman Burk DPM PC
- Pacific Mental Health Idaho LLC
- Jennifer Padilla
- Travis Lee Page
- Destiny Palmer
- Travis William Palmer
All providers in Caldwell, ID · Non-Pharmacy Dispensing Site in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.