Individual
DR. MARK E BURNETT
Active
Individual
DR. MARK E BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
150033
CA
207N00000X
Dermatology Physician
MD457258
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
150033
CA
207ND0101X
MOHS-Micrographic Surgery Physician
MD457258
PA
207NS0135X
Procedural Dermatology Physician
150033
CA
207NS0135X
Procedural Dermatology Physician
MD457258
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
08/07/2022
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