Individual
BRUCE THOMAS BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 W LAKE MEAD BLVD, SUITE 202, LAS VEGAS, NV 89128-7648
(702) 395-1070
(702) 395-1071
Mailing address
PO BOX 35891, LAS VEGAS, NV 89133-5891
(702) 395-1070
(702) 395-1071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5143
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504243
—
NV
Enumeration date
07/20/2005
Last updated
05/13/2013
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