Individual
DR. DAVID BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 TERRACINA BLVD STE 202, REDLANDS, CA 92373-4867
(909) 793-3311
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G88988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23472383
—
CO
Enumeration date
06/13/2005
Last updated
02/06/2020
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