Basic Information
Provider Information
NPI: 1104211036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURCL
FirstName: RUDOLF
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
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Mailing Information
Address1: DEPARTMENT OF ANESTHESIOLOGY
Address2: 231 ALBERT SABIN WAY
City: CINCINNATI
State: OH
PostalCode: 452670531
CountryCode: US
TelephoneNumber: 5135586356
FaxNumber: 5135580995
Practice Location
Address1: 234 GOODMAN ST
Address2: UNIVERSITY OF CINCINNATI MEDICAL CENTER
City: CINCINNATI
State: OH
PostalCode: 452192364
CountryCode: US
TelephoneNumber: 5135841000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2015
LastUpdateDate: 08/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X57.025867OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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