| NPI | 1952591877 |
|---|---|
| Doing Business As | BURNSVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FRANKLIN BURNS President 662-423-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |