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Individual

DR. CHARLES BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2410 CALIFORNIA ST, SAN FRANCISCO, CA 94115-2681
(415) 529-4050
(415) 291-0489
Mailing address
PO BOX 779, SAN FRANCISCO, CA 94104-7001
(415) 658-6791
(415) 520-0904

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010198
ME
207QA0505X
Adult Medicine Physician
Primary
G 46294
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
336820099
ME
Enumeration date
10/04/2005
Last updated
08/13/2012
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