Provider Demographics
NPI:1568502243
Name:BURNS, WILLIAM MAXWELL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MAXWELL
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:450 DONDEE ST STE 9A
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3056
Mailing Address - Country:US
Mailing Address - Phone:650-743-0556
Mailing Address - Fax:844-889-5618
Practice Address - Street 1:450 DONDEE ST STE 9A
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3056
Practice Address - Country:US
Practice Address - Phone:650-743-0556
Practice Address - Fax:844-889-5618
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA729442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry