Basil Omar Burney M.D

NPI 1043414485 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043414485
Gender Male
Enumeration Date 06/11/2007
Last Updated 08/11/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1801 PINE ST
MONTGOMERY AL, 36106-0165, US
Phone (334) 293-8877
Fax (334) 293-6803
Business Location
MONTGOMERY AL, 36117-7790, US
Phone (334) 270-9914
Fax (334) 270-3195
Taxonomy Code 390200000X
License State Missouri
License Number 2005019858
Remove 1043414485 NPI Number

According to our database, Basil Omar Burney M.D NPI is 1043414485, taxonomy code is 390200000X and license number is 2005019858, license state is located at Missouri. Basil Omar Burney M.D physically located at 1801 Pine St, Montgomery AL, 36106-0165. NPI Number Basil Omar Burney M.D has the Individual type.

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1043414485 NPI number is provided on an as is basis without warranty of any kind. 1043414485 is maintained by the National Plan & Provider Enumeration System. The contents of Basil Omar Burney M.D are for informational purposes only.