Provider Demographics
NPI:1316925886
Name:BURWELL, JOSEF KAY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSEF
Middle Name:KAY
Last Name:BURWELL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:BURWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2322 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1610
Mailing Address - Country:US
Mailing Address - Phone:602-909-0404
Mailing Address - Fax:602-548-2292
Practice Address - Street 1:2902 W CLARENDON AV
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85209
Practice Address - Country:US
Practice Address - Phone:602-909-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
AZ1915207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical