Jeffrey Mark Burnham, MD Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Baton Rouge, LA

NPI

1295729481

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

017109 (LA)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-02

Last updated

2021-03-30