Individual
DR. GLENN DAVID BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88 MDG, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433
(937) 257-8838
Mailing address
3963 MCLEAN RD, FRANKLIN, OH 45005-4755
(202) 316-6929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101236068
VA
207P00000X
Emergency Medicine Physician
Primary
35.099809
OH
207P00000X
Emergency Medicine Physician
39166
KY
207P00000X
Emergency Medicine Physician
D64924
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010263026
—
VA
Enumeration date
03/20/2006
Last updated
07/16/2019
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