Individual
MR. RICHARD JOSHUA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP LP
Contact information
Practice address
2210 S HIGHWAY 76, NEWCASTLE, OK 73065
(405) 392-3628
(405) 392-2137
Mailing address
PO BOX 1378, NEWCASTLE, OK 73065
(405) 392-3628
(405) 392-2137
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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