Individual
DR. GREG R BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
186 E MAIN ST STE 331, LOVELL, WY 82431-2004
(307) 887-6202
(702) 474-7458
Mailing address
PO BOX 395, LOVELL, WY 82431-0395
(307) 887-6202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3193
NV
225100000X
Physical Therapist
PT768
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117014700
—
WY
01
—
308087
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/20/2006
Last updated
02/16/2021
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