Individual
DUSTIN CHRISTOPHER BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
1744 S 14TH ST W, MISSOULA, MT 59801-4924
(406) 239-8971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
144
MT
Other
Enumeration date
04/27/2012
Last updated
04/23/2013
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