Individual provider · Type 1 NPI

Daniel J. Burst, PA

Medical Physician Assistant · Gretna, LA

NPI number 1063648525 Active

Practice location

120 Meadowcrest St, Suite 300
Gretna, LA 70056-5255

Fax (504) 392-7823

Mailing address

722 Central Ave
Reserve, LA 70084-5516

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.200267 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1063648525

Daniel J. Burst, PA's National Provider Identifier is 1063648525, issued on Jun 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gretna, LA. The record was last updated on Jun 10, 2009.