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DR. DAVID G. BURICA MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1265599096

Individual Registrant:
DR. DAVID G. BURICA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1000 STATE ST  MCCALL, ID 83638-3704 US
Tel: 208-634-1776  Fax: 208-634-3873

Contact information for business:
190 E BANNOCK ST  BOISE, ID 83712-6241 US
Tel: 208-381-2222  Fax: --

Registration Information:
NPI: 1265599096
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
IDM5059

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS OF IDAHO00607801
003580300ID05




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