Individual
GARY D BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVENUE, MARION, OH 43301-1814
(740) 383-8050
(740) 383-7084
Mailing address
L-3652, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35052932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0622792
PALMETTO MEDICARE
—
05
—
0718110
—
OH
01
—
0800039
UHC
—
01
—
311098079
PPO NEXT
—
01
—
311098079030
CIGNA
—
01
—
647544
AETNA
—
01
—
820000032
TRAVELERS MEDICARE
—
Enumeration date
05/04/2006
Last updated
06/16/2018
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