Organization
EASTERN SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BURNETT SA-C (SURGICAL ASSISTANT - CERTIFIED)
(240) 602-3922
Entity
Organization
Contact information
Practice address
16427 METRO AVE, BONNER SPRINGS, KS 66012-7108
(240) 602-3922
Mailing address
PO BOX 587, BASEHOR, KS 66007-0587
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
06-265
MD
Other
Enumeration date
02/22/2007
Last updated
08/27/2012
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