DANIEL J BURST

GRETNA, LA
NPI1063648525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA.200267)
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
Mr. DANIEL J BURST PA
120 MEADOWCREST ST SUITE 300
GRETNA, LA 70056-5255
Phone number: 504-392-7123
Mailing Address
Mr. DANIEL J BURST PA
722 CENTRAL AVE
RESERVE, LA 70084-5516
Phone number: 504-392-7123
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