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NPI Code Detail

MEDICARE: DR. ROBERT DAVID BURNS M.D.

MEDICARE: DR. ROBERT DAVID BURNS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35045961OH

General Provider Information

NPI Number : 1194896290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT DAVID BURNS M.D.
Provider Business Mailing Address
First Line : 1 PERKINS SQ
Second Line :
City : AKRON
State : OH
Zip : 44308-1063
Country : US
Telephone Number : 419-522-3341
Fax Number : 419-522-1110
Provider Business Practice Location Address
First Line : 1029 S TRIMBLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-3427
Country : US
Telephone Number : 419-522-3341
Fax Number : 419-522-1110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2006
Last Update Date : 02/24/2021

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