Provider Demographics
NPI:1982833414
Name:BURK, DAVID ELTON (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ELTON
Last Name:BURK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11259 E. VIA LINDA SUITE 108
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4076
Mailing Address - Country:US
Mailing Address - Phone:480-993-6084
Mailing Address - Fax:480-661-6737
Practice Address - Street 1:11259 E. VIA LINDA SUITE 108
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4076
Practice Address - Country:US
Practice Address - Phone:480-993-6084
Practice Address - Fax:480-661-6737
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor