Michelle Anne Burgoyne PA

NPI 1669623971 - Physician Assistant - 363A00000X

NPI Details
NPI 1669623971
Gender Female
Enumeration Date 10/06/2008
Last Updated 02/28/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
7045 YOUREE DR
SHREVEPORT LA, 71105-5108, US
Phone (318) 798-3763
Fax (318) 798-2267
Business Location
7045 YOUREE DR
SHREVEPORT LA, 71105-5108, US
Phone (318) 798-3763
Fax (318) 798-2267
Toxanomy
Taxonomy Code 363A00000X
License State Louisiana
License Number PA200211
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According to our database, Mrs. Michelle Anne Burgoyne PA NPI is 1669623971, taxonomy code is 363A00000X and license number is PA200211, license state is located at Louisiana. Michelle Anne Burgoyne PA physically located at 7045 Youree Dr, Shreveport LA, 71105-5108. NPI Number Michelle Anne Burgoyne PA has the Individual type.

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1669623971 NPI number is provided on an as is basis without warranty of any kind. 1669623971 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Anne Burgoyne PA are for informational purposes only.