Individual
GREGORY PAUL BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 CHALAN SAN ANTONIO, STE 214, TAMUNING, GU 96913-3620
(671) 647-6213
(671) 647-5385
Mailing address
415 CHALAN SAN ANTONIO, STE 214, TAMUNING, GU 96913-3620
(671) 647-6213
(671) 647-5385
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10976
MT
207W00000X
Ophthalmology Physician
Primary
M-1658
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150865
—
MT
01
—
1003884297
NPI
GU
01
—
FU824Z
PTAN
—
Enumeration date
03/14/2006
Last updated
03/21/2017
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