Individual
MITCHELL DAVID BURNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 KOKOPELLI BLVD UNIT G, FRUITA, CO 81521-6305
(970) 243-9180
(970) 245-2697
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 243-9180
(970) 245-2697
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0020923
CO
Other
Enumeration date
01/20/2006
Last updated
11/23/2020
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