Individual
MATTHEW WHEATON BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
105 COLORADO ST, TRAVIS AFB, CA 94535-1255
(707) 718-5028
Mailing address
105 COLORADO ST, TRAVIS AFB, CA 94535-1255
(707) 718-5028
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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