Jill Burbank, PA

NPI #1124117163 in Stafford, Kansas

Provider Information

NPI Number: 1124117163
Entity Type: Individual
Name: Jill Burbank, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 11, 2006
Last Updated: Jan 7, 2008

Practice Location

Address: 802 W BROADWAY
City: Stafford
State: Kansas
ZIP Code: 67578
Phone: (620) 234-6826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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