Individual
DR. MARK A. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13460 N 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DRIVE, SUITE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29591
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
29591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621674
—
AZ
01
—
Z255163
MEDICARE
AZ
Enumeration date
06/27/2006
Last updated
04/19/2021
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