| Mr Ethan David Burdman, PA-C, MPAS | |
|
608 E Garfield Ave, Gettysburg, SD 57442-1325 | |
| (605) 765-2273 | |
| (605) 765-3212 |
| Full Name | Mr Ethan David Burdman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 608 E Garfield Ave, Gettysburg, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710130190 | NPI | - | NPPES |
| 0692 | Other | SD | SOUTH DAKOTA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0692 (South Dakota) | Primary |
| 363A00000X | Physician Assistant | PA164996 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ethan David Burdman, PA-C, MPAS 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5222 | Mr Ethan David Burdman, PA-C, MPAS 608 E Garfield Ave, Gettysburg, SD 57442-1325 Ph: (605) 765-2273 |
Mr. Stephen John Knoble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 608 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2273 Fax: 605-765-2273 | |
Kacie Nicole Jacobsen-ahlers, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 606 E Garfield Ave, Gettysburg, SD 57442 Phone: 605-765-2273 |