Individual
MARCUS R BURHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 E PALMER RD, BELLEFONTAINE, OH 43311
(937) 592-4015
(937) 292-7148
Mailing address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-4015
(937) 292-7148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRNCRNA07987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2520927
—
OH
Enumeration date
10/26/2006
Last updated
11/30/2022
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