Individual
MCKENZIE LYNN BURFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 112, OAK RIDGE, PA 16245-0112
(814) 331-3474
Mailing address
123 HOSPITAL AVE, DU BOIS, PA 15801-1409
(814) 375-7797
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA065776
PA
Other
Enumeration date
06/05/2024
Last updated
10/04/2024
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