Individual
DAVID BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2860 3RD AVE, SUITE 230, HUNTINGTON, WV 25702-1454
(304) 525-3711
(304) 525-2748
Mailing address
PO BOX 88, 5 E ALVON ROAD SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00931
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719576
BLUE CROSS BLUE SHIELD
WV
01
—
3001162
WORKERS COMPENSATION
WV
05
—
7100170150
—
KY
01
—
P00949891
RR MEDICARE
WV
Enumeration date
06/03/2006
Last updated
11/18/2011
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