Individual
MR. MICHAEL PATRICK BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2350
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA59097
CA
Other
Enumeration date
10/31/2019
Last updated
11/07/2023
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