Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1761 | CO |
N | 111NS0005X | Chiropractic Sports Physician | 1761 | CO |
N | 111NX0100X | Occupational Health | 1761 | CO |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1761 | CO |
NPI | 1255422283 |
---|---|
Provider Name | Dr. Paul David Burns |
First Address | Greenwood Village, CO 80111-2803 |
Second Address | Greenwood Village, CO 80111-2803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |