Doctor Name: | DAWN M BURGESS |
NPI Number: | 1013164425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNFA |
License Number: | 28159755A |
Business Practice Address: | 2701 Lincoln Ave Evansville, IN - 477141627 |
Business Phone Number: | 8124764400 |
Business Fax Number: | 8124760300 |
Mailing Address: | 2701 Lincoln Ave, EVANSVILLE |
State: | IN |
Postal Code: | 477141627 |
Phone Number: | 8124764400 |
Fax Number: | 8124760300 |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 28159755A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |