Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A87855 | CA |
N | 207VE0102X | Reproductive Endocrinologist | A87855 | CA |
NPI | 1003958083 |
---|---|
Provider Name | Richard Own Burney |
First Address | Tacoma, WA 98431 |
Second Address | Tacoma, WA 98431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 26/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I13736 | (02) | CA |