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Organization

BRUCE K BURTON MD PA

Active
Other names
Malvern Diagnostic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE KENT BURTON MD (PRESIDENT OWNER)
(501) 337-9031
Entity
Organization

Contact information

Practice address
2223 GRANT STREET, MALVERN, AR 72104
(501) 337-9031
(501) 337-9033
Mailing address
2223 GRANT STREET, MALVERN, AR 72104
(501) 337-9031
(501) 337-9033

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MC 0784
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110030002
AR
01
57801
BCBS
AR
Enumeration date
10/05/2006
Last updated
11/18/2009
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