MR. Benjamin Don Burtenshaw, PA-C

NPI #1437455318 in Gooding, Idaho

Provider Information

NPI Number: 1437455318
Entity Type: Individual
Name: MR. Benjamin Don Burtenshaw, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 10, 2011
Last Updated: Jan 21, 2013

Practice Location

Address: 267 N CANYON DR
City: Gooding
State: Idaho
ZIP Code: 83330-5500
Phone: (208) 934-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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