Provider Demographics
NPI:1053677542
Name:AMR MEDICAL CORPORATION
Entity Type:Organization
Organization Name:AMR MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-225-2797
Mailing Address - Street 1:1255 W SHAW AVE
Mailing Address - Street 2:STE # 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3716
Mailing Address - Country:US
Mailing Address - Phone:559-225-2797
Mailing Address - Fax:559-225-2752
Practice Address - Street 1:1255 W SHAW AVE
Practice Address - Street 2:STE # 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3716
Practice Address - Country:US
Practice Address - Phone:559-225-2797
Practice Address - Fax:559-225-2752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45980208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty