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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GERALD QUENTIN BURNETT JR., PA-C

Active Sole Proprietor

MR. GERALD QUENTIN BURNETT JR., PA-C is a Physician Assistant healthcare provider located in 29 PALMS, California. NPI 1912012998 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · 29 PALMS, CA

Registration Details

NPI Number
1912012998
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2006 (19.805230426368 yrs)
Last Updated
Jul 21, 2022
License
CA 15832 (CA)
Sole Proprietor
Yes

Practice Information

Address
72724 29 PALMS HWY, SUITE 103
29 PALMS, CA, 92277
Browse CA providers · Browse ZIP 92277
Phone
7603675906
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in 29 PALMS, CA

Name Credential NPI
WINSTON EARL RUDDER PAC 1912122276
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.