Individual
WILLIAM DAVID MILLS BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 WEST 3RD ST., MARBLETON, WY 83113
(307) 260-8010
(307) 276-3024
Mailing address
POB 1160, BIG PINEY, WY 83113
(307) 260-8010
(307) 276-3024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4008A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114736600
—
WY
01
—
313591
BLUE CROSS BLUE SHIELD WY
WY
01
—
4008A
WYOMING LICENSE
WY
Enumeration date
10/06/2006
Last updated
03/07/2023
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