Individual
DR. MATTHEW BLAKE BURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 960-3620
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 500-3500
(501) 960-3620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10044119
TX
207X00000X
Orthopaedic Surgery Physician
R5981
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
E-14362
AR
207XS0106X
Orthopaedic Hand Surgery Physician
R5981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393387101
—
TX
Enumeration date
05/04/2012
Last updated
07/01/2021
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