MR. Michael Burnett, PA-C

NPI #1811469604 in Cannon Afb, New Mexico

Provider Information

NPI Number: 1811469604
Entity Type: Individual
Name: MR. Michael Burnett, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 18, 2018
Last Updated: Jan 9, 2025

Practice Location

Address: 104 W D.L INGRAM AV
City: Cannon Afb
State: New Mexico
ZIP Code: 88101
Phone: (575) 904-5392

Specialties & Taxonomy Codes

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

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