| Phillip Neil Burk, DPM | |
|
203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 | |
| (208) 466-3338 | |
| (208) 466-3554 |
| Full Name | Phillip Neil Burk |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 203 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699763540 | NPI | - | NPPES |
| 480033019 | Other | ID | RAILROAD MEDICARE |
| P2446 | Other | ID | BLUE CROSS OF IDAHO |
| 000010015689 | Other | ID | REGENCE BLUE SHIELD |
| 001519600 | Medicaid | ID | |
| P2446 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | P-99 (Idaho) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | P-99 (Idaho) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Neil Burk, DPM 2000 County Line Rd, Emmett, ID 83617-9721 Ph: (208) 278-3031 | Phillip Neil Burk, DPM 203 12th Ave Rd, Suite A, Nampa, ID 83686-5012 Ph: (208) 466-3338 |
Troy W. Fowler, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 203 12th Ave Rd, Nampa, ID 83686 Phone: 208-466-3338 Fax: 208-466-3554 | |
State Of Idaho Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1660 11th Ave N, Nampa, ID 83687 Phone: 208-442-2812 Fax: 208-467-5978 |