Organization
HUALAPAI MOUNTAIN ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON BURNS MD (MD/OWNER)
(928) 757-7976
Entity
Organization
Contact information
Practice address
3801 SANTA ROSA DR, KINGMAN, AZ 86401-2311
(928) 263-5100
Mailing address
3727 CERBAT VISTA DR, KINGMAN, AZ 86409-6950
(928) 757-7976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
08/09/2011
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