Provider Demographics
NPI:1922283134
Name:BURKS, CHESTER LEE JR (DO)
Entity Type:Individual
Prefix:
First Name:CHESTER
Middle Name:LEE
Last Name:BURKS
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:CHESTER
Other - Middle Name:LEE
Other - Last Name:BURKS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:9100 E FLORIDA AVE BLDG 8
Mailing Address - Street 2:DENVER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2845
Mailing Address - Country:US
Mailing Address - Phone:303-750-3013
Mailing Address - Fax:303-750-3013
Practice Address - Street 1:9100 E FLORIDA AVE BLDG 8
Practice Address - Street 2:SUITE108
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2845
Practice Address - Country:US
Practice Address - Phone:303-750-3013
Practice Address - Fax:303-750-3013
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine