Individual
BLAZE J BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
13607 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0809
(509) 892-3113
(509) 892-3663
Mailing address
13607 E SPRAGUE AVENUE, SPOKANE VALLEY, WA 99206
(509) 892-3113
(509) 892-3663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004598
WA
Other
Enumeration date
06/29/2006
Last updated
07/12/2010
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