Russell Adam Burnham, PA-C | |
P-10506 Euphrates River Valley Rd, 1-89 Cav, 2bct, 10th Mtn Div, Fort Drum, NY 13602-5438 | |
(315) 774-0024 | |
Not Available |
Full Name | Russell Adam Burnham |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | P-10506 Euphrates River Valley Rd, Fort Drum, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700179199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Russell Adam Burnham, PA-C P-10506 Euphrates River Valley Road, 1-89 Cav, Fort Drum, NY 13601 Ph: (315) 774-0024 | Russell Adam Burnham, PA-C P-10506 Euphrates River Valley Rd, 1-89 Cav, 2bct, 10th Mtn Div, Fort Drum, NY 13602-5438 Ph: (315) 774-0024 |
David Lewis Keyes, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Credentials, Fort Drum, NY 13602 Phone: 315-772-5508 | |
Brady Simpkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 802-258-0301 | |
Kevin Lee Larose, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jeremiah C Clester, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Tetevi Senouwogbe Torsoo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Jacob Miller, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: P10506 Euphrates River Valley Road, Fort Drum, NY 13602 Phone: 315-772-2778 | |
William J. Flynn Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 |