Individual
DR. MARK E BURTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
100 GREEN LN, STE 2, BRISTOL, PA 19007-5600
(215) 785-5366
(215) 788-0645
Mailing address
100 GREEN LN, STE 2, BRISTOL, PA 19007-5600
(215) 785-5366
(215) 788-0645
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003078L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010922120009
—
PA
Enumeration date
06/17/2005
Last updated
07/08/2007
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