Organization
AFFILIATED HEARTLAND PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES BURNETT D.P.M. (OWNER,PODIATRIST)
(913) 557-0700
Entity
Organization
Contact information
Practice address
2102 BAPTISTE DR, SUITE D, PAOLA, KS 66071-1314
(913) 557-0700
(866) 254-5538
Mailing address
2102 BAPTISTE DR, SUITE D, PAOLA, KS 66071-1314
(913) 557-0700
(866) 254-5538
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
12-00312
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4857030001
DMERC
—
01
—
DG2679
RR MCR
—
Enumeration date
03/14/2007
Last updated
08/27/2008
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