MEDICARE: WILLIAM MAXWELL 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
1	2084P0800X	Psychiatry Physician	A72944	CA

General Provider Information

NPI Number	:	1568502243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM MAXWELL BURNS M.D.

Provider Business Mailing Address
First Line	:	450 DONDEE ST STE 9A
Second Line	:
City	:	PACIFICA
State	:	CA
Zip	:	94044-3056
Country	:	US
Telephone Number	:	650-743-0556
Fax Number	:	844-889-5618

Provider Business Practice Location Address
First Line	:	450 DONDEE ST STE 9A
Second Line	:
City	:	PACIFICA
State	:	CA
Zip	:	94044-3056
Country	:	US
Telephone Number	:	650-743-0556
Fax Number	:	844-889-5618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	02/01/2024

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