Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH3657 | WA |
N | 175F00000X | Naturopath | NT60096656 | WA |
NPI | 1205905262 |
---|---|
Provider Name | Dr. David W Burns |
First Address | Issaquah, WA 98029-7367 |
Second Address | Issaquah, WA 98029-8943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 31/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8858878 | (02) | WA |