Individual
GREGORY K BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
PA2173
NV
363A00000X
Physician Assistant
Primary
PA2173
NV
363AM0700X
Medical Physician Assistant
PA2173
NV
Other
Enumeration date
09/12/2019
Last updated
02/04/2020
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