Individual
DR. EDWARD LEE BURNS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, 3RD FLOOR, SAINT LOUIS, MO 63128-2106
(314) 524-3591
(314) 525-4926
Mailing address
10010 KENNERLY RD, 3RD FLOOR, SAINT LOUIS, MO 63128-2106
(314) 524-3591
(314) 525-4926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R9429
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MOR9429
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201161635
—
MO
Enumeration date
07/21/2005
Last updated
08/20/2014
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