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NPI Code Detail

MEDICARE: DR. JONATHON RICHARD BURNS

MEDICARE: DR. JONATHON RICHARD BURNS
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
1207L00000XAnesthesiology Physician34018500OH
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114506839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHON RICHARD BURNS
Provider Business Mailing Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-723-3245
Fax Number :
Provider Business Practice Location Address
First Line : 405 W GRAND AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-7538
Country : US
Telephone Number : 937-723-3245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 05/18/2026

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Directions to “ DR. JONATHON RICHARD BURNS ” Practice Location

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