Individual
DR. JEREMY MARK BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836
(225) 761-5200
(225) 761-5450
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
304948
LA
207X00000X
Orthopaedic Surgery Physician
R2714
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
304948
LA
Other
Enumeration date
06/14/2011
Last updated
03/31/2021
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