Doctor Name: | DR. DANIEL R BURNETT |
NPI Number: | 1699906495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | AFE81305 |
Business Practice Address: | 588 Teresita Blvd San Francisco, CA - 941271831 |
Business Phone Number: | 4155858508 |
Business Fax Number: | 8663720899 |
Mailing Address: | 588 Teresita Blvd, SAN FRANCISCO |
State: | CA |
Postal Code: | 941271831 |
Phone Number: | 4155858508 |
Fax Number: | 8663720899 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 07/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AFE81305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |