Healthcare Provider Details

I. General information

NPI: 1740331677
Provider Name (Legal Business Name): STEVEN ALAN BURNS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9070 E DESERT COVE AVE STE 104B
SCOTTSDALE AZ
85260-6710
US

IV. Provider business mailing address

9070 E DESERT COVE AVE STE 104B
SCOTTSDALE AZ
85260-6710
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-7572
  • Fax: 480-661-4834
Mailing address:
  • Phone: 480-661-7572
  • Fax: 480-661-4834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: