Individual
WILLIAM BOAZ BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0027
(417) 836-8553
Mailing address
3817 S 2275 RD, SCHELL CITY, MO 64783-8114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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