Individual
MR. RICHARD JOSHUA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP LP
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
LP5
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5993501
AETNA
—
01
—
731213482003
BCBS
—
Enumeration date
12/26/2006
Last updated
07/08/2007
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