Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MT184489 | PA |
Y | 2081P2900X | Pain Medicine | 12862 | NV |
N | 2081P2900X | Pain Medicine | ME121837 | FL |
NPI | 1184745465 |
---|---|
Provider Name | Jonathan David Burns |
First Address | Reno, NV 89503-4538 |
Second Address | Reno, NV 89503-4538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 05/12/2018 |