Individual
MR. DANIEL BRUCE BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1090, PHOENIX, AZ 85027-3970
(602) 648-5444
(602) 772-3801
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6355
CT
363A00000X
Physician Assistant
8174
AZ
363AS0400X
Surgical Physician Assistant
6355
CT
363AS0400X
Surgical Physician Assistant
8174
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083339
—
AZ
Enumeration date
07/11/2020
Last updated
02/28/2024
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