Individual
CHESTER BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 859-1170
(405) 601-3317
Mailing address
7626 NW 10TH ST APT 5, OKLAHOMA CITY, OK 73127-4427
(405) 859-1170
(405) 601-3317
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077440A
—
OK
Enumeration date
11/27/2012
Last updated
11/27/2012
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