Organization
BURTON PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL F. BURTON CPO (CERTIFIED PROSTHETIST/ORTHOTIST)
(402) 384-1334
Entity
Organization
Contact information
Practice address
5329 CENTER ST, OMAHA, NE 68106-2338
(402) 384-1334
(402) 384-1331
Mailing address
5329 CENTER ST, OMAHA, NE 68106-2338
(402) 384-1334
(402) 384-1331
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560417
—
IA
01
—
08983
BCBS
NE
05
—
50670604900
—
NE
01
—
82-00386
UNITED HEALTH CARE
NE
Enumeration date
08/03/2005
Last updated
11/09/2011
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