Stephen Spencer Burnside in Kodiak - Internal Medicine

Stephen Spencer Burnside - NPI 1225004401

Stephen Spencer Burnside is a Internal Medicine in Kodiak, Alaska. Stephen Spencer Burnside practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stephen Spencer Burnside is 1225004401. The last update date is 2013-04-15.

Stephen Spencer Burnside's current location address is 1818 E Rezanof Dr, Kodiak, Alaska. You can contact this provider via phone number 9074866065 and fax number 9074862248. The mailing address for Stephen Spencer Burnside is 1818 E Rezanof Dr, Kodiak, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Spencer Burnside
Address 1818 E Rezanof Dr, Kodiak, Alaska
Phone Number 9074866065
Fax Number 9074862248
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225004401
Provider Enumeration Date 2006-02-27
Last Updated Date 2013-04-15

Provider Mailing Address Detail

Address 1818 E Rezanof Dr
City Kodiak
State Alaska (AK)
Post Code 99615
Phone Number 9074866065
Fax Number 9074862248

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No AA2876
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
920088665 AK EMPLOYEE ID
GR0173 AK --
MD 03803 AK --

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FAQs about Stephen Spencer Burnside

What is the Stephen Spencer Burnside's unique identification number?

The Stephen Spencer Burnside has been assigned the NPI (National Provider Identifier) Number 1225004401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Stephen Spencer Burnside located?

The Stephen Spencer Burnside is located at 1818 E Rezanof Dr, Kodiak, AK 99615.

What is Stephen Spencer Burnside's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stephen Spencer Burnside is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

When was the Stephen Spencer Burnside's 1225004401 issued?

The Stephen Spencer Burnside's 1225004401 was issued on 2006-02-27.

When was the information pertaining to Stephen Spencer Burnside most recently updated or revised?

The details related to Stephen Spencer Burnside, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-15.

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