MEDICARE: MR. STEVEN T BURDINE PA

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	363A00000X	Physician Assistant	2013041192	MO

General Provider Information

NPI Number	:	1689693392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN T BURDINE PA

Provider Business Mailing Address
First Line	:	PO BOX 802843
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-2843
Country	:	US
Telephone Number	:	417-730-6430
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	121 CAHILL RD STE 206
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-1911
Country	:	US
Telephone Number	:	417-348-8100
Fax Number	:	417-348-8104

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	06/29/2023

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Directions to “ MR. STEVEN T BURDINE PA” Practice Location

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