Provider Demographics
NPI:1356651269
Name:RONALD E BURNAM M.D. INC.
Entity Type:Organization
Organization Name:RONALD E BURNAM M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-348-2147
Mailing Address - Street 1:1115 PRYOR CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:MT
Mailing Address - Zip Code:59037
Mailing Address - Country:US
Mailing Address - Phone:406-348-2147
Mailing Address - Fax:406-348-2147
Practice Address - Street 1:1115 PRYOR CREEK ROAD
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:MT
Practice Address - Zip Code:59037
Practice Address - Country:US
Practice Address - Phone:406-348-2147
Practice Address - Fax:406-348-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty