Individual
JOSEPH E BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
36077
IA
2085R0202X
Diagnostic Radiology Physician
Primary
A785100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462606
—
IA
01
—
38698
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
07/08/2007
Update your record
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