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Mr. Ethan David Burdman, PA-C,MPAS
Medical Physician Assistant in Gettysburg, South Dakota
NPI 1710130190

Ethan David Burdman is a Medical Physician Assistant based in Gettysburg, SD and is specialized in Medical. Ethan David Burdman practices in Gettysburg, SD and has the professional credentials of PA-C,MPAS. The NPI Number for Ethan David Burdman is 1710130190 and holds a License No. 0692 (South Dakota).

The current practice location address for Ethan David Burdman is 608 E Garfield Ave, Gettysburg, SD and can be reached out via phone at 605-765-2273 and via fax at 605-765-3212.

Location: 608 E Garfield Ave, Gettysburg, SD, 57442-1420
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Provider Profile Details
NPI Number
1710130190
Provider Name
Ethan David Burdman
Credential
PA-C,MPAS
Provider Entity Type
Individual
Gender
Male
Address
608 E Garfield Ave, Gettysburg, SD, 57442-1420
Phone Number
605-765-2273
Fax Number
605-765-3212
Provider Enumeration Date
10/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0692 01 SD SOUTH DAKOTA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
608 E Garfield Ave
City
State
Zip
57442-1325
Phone Number
605-765-2273
Fax Number
605-765-3212
person
Provider Business Mailing Address Details
Address
608 E Garfield Ave
City
State
Zip
57442-1325
Phone Number
605-765-2273
Fax Number
605-765-3212
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0692 (South Dakota)
Definition
Definition to come...
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