Individual
DORIS BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 S SAN MATEO DR, SAN MATEO, CA 94401-3819
(650) 343-1655
Mailing address
101 S SAN MATEO DR, SAN MATEO, CA 94401-3819
(650) 343-1655
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G57003
CAL LICENSE
CA
Enumeration date
06/08/2007
Last updated
07/08/2007
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