Individual
MR. MICHAEL BURNETT
Active
Individual
MR. MICHAEL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11690304-1206
UT
363A00000X
Physician Assistant
Primary
PA2024-0091
NM
363AM0700X
Medical Physician Assistant
11690304-1206
UT
363AM0700X
Medical Physician Assistant
Primary
PA2024-0091
NM
Other
Enumeration date
12/18/2018
Last updated
07/22/2026
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