Individual
TIFFANY BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
2355 FACULTY DR, USAF ACADEMY, CO 80840-1805
(719) 333-2400
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5462
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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