NPI 1184679128 · live from the CMS NPI Registry
William Joseph Burke, MD
Psychiatry & Neurology, Neurology in St Louis, MO. National Provider Identifier 1184679128, active.
NPI record
| NPI | 1184679128 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1 Jefferson Barracks Drive, 11g Jb Building 1 Room 2e23, St Louis, MO 63125 |
| Practice phone | 314-652-4106 |
| Mailing address | 5517 Pinewood Forest, St Louis, MO 63128 |
| Enumerated | May 24, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | R5664 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.