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Individual

JAMES R BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 364-3278
(719) 365-7668
Mailing address
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 364-3278
(719) 365-7668

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004842
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99973
NM
Enumeration date
10/03/2006
Last updated
07/21/2022
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