Individual
DR. RICHARD LEE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
(870) 508-8136
Mailing address
405 BUTTERCUP DR, MOUNTAIN HOME, AR 72653-2910
(870) 425-3030
(870) 508-8136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-4879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101020001
—
AR
Enumeration date
04/26/2006
Last updated
01/24/2014
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