NPI 1710942339 · live from the CMS NPI Registry
Marian S Bursten, MD PhD
Family Medicine in Cheyenne, WY. National Provider Identifier 1710942339, active.
NPI record
| NPI | 1710942339 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5050 Powderhouse Rd, Cheyenne, WY 82009 |
| Practice phone | 970-634-1311 |
| Mailing address | 2695 Rocky Mountain Ave, Suite 150, Loveland, CO 80538 |
| Enumerated | April 18, 2006 |
| Last updated | February 19, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 42461 (CO) |
| Family Medicine primary | 207Q00000X | 7656A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.