Provider Demographics
NPI:1184745465
Name:BURNS, JONATHAN DAVID (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DAVID
Last Name:BURNS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:748 S MEADOWS PKWY
Mailing Address - Street 2:STE A9 PMB 233
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4841
Mailing Address - Country:US
Mailing Address - Phone:775-525-1059
Mailing Address - Fax:504-977-5434
Practice Address - Street 1:5437 KIETZKE LANE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511
Practice Address - Country:US
Practice Address - Phone:775-784-3319
Practice Address - Fax:504-977-5434
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2023-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV128622081P2900X, 2081P2900X
FLME1218372081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine