Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL DAVID BURNBAUM, MD
ActiveMITCHELL DAVID BURNBAUM, MD is a Neurology healthcare provider located in FRUITA, Colorado. NPI 1700866159 is currently active in the NPPES registry. Verify at CMS.
Neurology · FRUITA, CO
Registration Details
- NPI Number
- 1700866159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.58213660432 yrs)
- Last Updated
- Nov 23, 2020
- License
-
DR.0020923 (CO)
Practice Information
- Address
-
551 KOKOPELLI BLVD UNIT GFRUITA, CO, 815216305Browse CO providers · Browse ZIP 81521
- Phone
- 9702439180
- Fax
- 9702452697
- Primary Specialty
-
Neurology
2084N0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.