Larry Burns PA

NPI 1760882252 - Physician Assistant - 363A00000X

NPI Details
NPI 1760882252
Gender Male
Enumeration Date 09/03/2014
Last Updated 09/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1201 E JACKSON ST
HUGO OK, 74743-4229, US
Phone (580) 326-6423
Fax
Business Location
1201 E JACKSON ST
HUGO OK, 74743-4229, US
Phone (580) 326-6423
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Larry Burns PA NPI is 1760882252, taxonomy code is 363A00000X Larry Burns PA physically located at 1201 E Jackson St, Hugo OK, 74743-4229. NPI Number Larry Burns PA has the Individual type.

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1760882252 NPI number is provided on an as is basis without warranty of any kind. 1760882252 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Burns PA are for informational purposes only.