Provider Demographics
NPI:1366418741
Name:BURCHFIELD, DANIEL M (MD PHD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:BURCHFIELD
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 CROSSINGS DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-7101
Mailing Address - Country:US
Mailing Address - Phone:928-778-9250
Mailing Address - Fax:928-778-9309
Practice Address - Street 1:3655 CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-7101
Practice Address - Country:US
Practice Address - Phone:928-778-9250
Practice Address - Fax:928-778-9309
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26158207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ200033429OtherRAILROAD MEDICARE
AZ407959Medicaid
F35504Medicare UPIN
AZ200033429OtherRAILROAD MEDICARE