Individual
DR. STEPHEN R BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6328
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01077914A
IN
2084N0400X
Neurology Physician
Primary
39214
SC
2084N0400X
Neurology Physician
SB049511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392140
—
SC
05
—
4673830
—
MI
Enumeration date
01/20/2006
Last updated
10/10/2022
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