RUSSELL ADAM BURNHAM

FORT DRUM, NY
NPI1700179199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2011-05-18
Last Update Date2012-08-30
Business Address
-- RUSSELL ADAM BURNHAM PA-C
P-10506 EUPHRATES RIVER VALLEY RD 1-89 CAV, 2BCT, 10TH MTN DIV
FORT DRUM, NY 13602-5438
Phone number: 315-774-0024
Mailing Address
-- RUSSELL ADAM BURNHAM PA-C
P-10506 EUPHRATES RIVER VALLEY ROAD 1-89 CAV
FORT DRUM, NY 13601
Phone number: 315-774-0024
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