Individual
DUSTIN NICHOLAS BURKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 E SCHOOL AVE, VISALIA, CA 93291-5032
(877) 960-3426
Mailing address
1902 S BARDO ST, VISALIA, CA 93277-4851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55726
CA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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