Individual
DR. BRYON JOHN GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
(618) 222-4646
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 222-4646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-078262
IL
Other
Enumeration date
12/05/2006
Last updated
12/28/2021
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