Provider Demographics
NPI:1437154549
Name:BURNS, STEVEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2034 E SOUTHERN AVE
Mailing Address - Street 2:STE O
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7511
Mailing Address - Country:US
Mailing Address - Phone:480-777-0077
Mailing Address - Fax:480-731-4741
Practice Address - Street 1:2034 E SOUTHERN AVE
Practice Address - Street 2:STE O
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7511
Practice Address - Country:US
Practice Address - Phone:480-777-0077
Practice Address - Fax:480-731-4741
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD36619Medicare UPIN
AZZ63906Medicare ID - Type Unspecified