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Beau R Burkholder, MD
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1932720877

Beau R Burkholder is a Student in an Organized Health Care Education/Training Program based in Grand Forks, NY. Beau R Burkholder practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Beau R Burkholder is 1932720877 and holds a License No. (New York).

The current practice location address for Beau R Burkholder is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-5540.

Location: 750 E Adams St, Syracuse, NY, 58201-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932720877
Provider Name
Beau R Burkholder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 58201-7718
Phone Number
315-464-5540
Fax Number
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-5540
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-5540
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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