Individual
CARRIE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 380-0476
(928) 214-3882
Mailing address
1050 N SAN FRANCISCO ST STE D, FLAGSTAFF, AZ 86001-3259
(928) 774-1693
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29671
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685993
AHCCCCS
AZ
01
—
P00085888
RAILROAD
AZ
Enumeration date
10/16/2006
Last updated
07/08/2007
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