Provider Demographics
NPI:1518106004
Name:BURPEE, JAMES F (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:BURPEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 MIRAMONTE DR
Mailing Address - Street 2:
Mailing Address - City:HESPERUS
Mailing Address - State:CO
Mailing Address - Zip Code:81326-8726
Mailing Address - Country:US
Mailing Address - Phone:505-327-9111
Mailing Address - Fax:505-327-2730
Practice Address - Street 1:2300 E 30TH ST
Practice Address - Street 2:BLDG B SUITE 106
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-8990
Practice Address - Country:US
Practice Address - Phone:505-327-9111
Practice Address - Fax:505-327-2730
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM2003-0170208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B68191Medicare UPIN