Provider Demographics
NPI:1215029392
Name:BURES, GEORGE J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:BURES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 413923
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-3923
Mailing Address - Country:US
Mailing Address - Phone:913-825-3438
Mailing Address - Fax:913-248-1336
Practice Address - Street 1:7255 RENNER RD.
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217
Practice Address - Country:US
Practice Address - Phone:913-248-3233
Practice Address - Fax:913-248-1336
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-21704207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS15512038OtherBLUE CROSS
KSK210828Medicare ID - Type Unspecified
KSS140828Medicare ID - Type Unspecified
KS15512038OtherBLUE CROSS