Individual
MR. JOHN BURNSED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1849
(417) 237-7259
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 359-1849
(417) 237-7259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003001126
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679512321
—
MO
05
—
175856003
—
AR
05
—
200227870A
—
OK
05
—
200592160B
—
KS
Enumeration date
06/06/2006
Last updated
10/19/2015
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