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Individual

DR. BRADFORD S. BURTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3288 MOANALUA RD, DI KAISER, HONOLULU, HI 96819-1469
(808) 432-7342
(808) 432-7340
Mailing address
3288 MOANALUA RD, DI KAISER, HONOLULU, HI 96819-1469
(808) 432-7342
(808) 432-7340

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD-8516
HI
2085R0202X
Diagnostic Radiology Physician
335695-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
MD-8516
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000020300
HMSA BILLING NUMBER
HI
05
075668-01
HI
05
075668-02
HI
05
102279854 0001
PA
05
1889377
LA
05
2940349
OH
05
445224100
MD
05
7100081820
KY
05
808330800
ID
05
Q08516
SC
Enumeration date
01/25/2006
Last updated
05/10/2021
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