RUSSELL BURNHAM, PA-C

Physician Assistant

Active Individual
NPI: 1700179199

Practice Address

P-10506 EUPHRATES RIVER VALLEY RD
1-89 CAV, 2BCT, 10TH MTN DIV
Fort Drum, NY 13602

Phone: (315) 774-0024

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1700179199 is the National Provider Identifier for RUSSELL BURNHAM, PA-C, a Physician Assistant provider located in Fort Drum, NY. This NPI was enumerated on May 18, 2011.
RUSSELL BURNHAM, PA-C practices at P-10506 EUPHRATES RIVER VALLEY RD, 1-89 CAV, 2BCT, 10TH MTN DIV, Fort Drum, NY 13602.

Quick Facts

NPI
1700179199
Type
Individual
Enumerated
May 18, 2011
Last Updated
Aug 30, 2012

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