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Individual

DR. BRUCE L BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.R.N.P.C.

Contact information

Practice address
5950 UNIVERSITY AVE, STE 105, WEST DES MOINES, IA 50266
(515) 875-9070
(515) 875-9071
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A054714
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0685214
IA
01
47420
BLUE SHIELD OF IA
IA
Enumeration date
07/11/2005
Last updated
06/21/2018
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