Individual
DR. JOHN M BURTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 S RYAN ST, LAKE CHARLES, LA 70601-5725
(337) 491-7755
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12039R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695629
—
LA
Enumeration date
06/16/2006
Last updated
07/08/2007
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