Individual
MATTHEW RYAN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 NELSON RD STE C10, LAKE CHARLES, LA 70605-4169
Mailing address
4150 NELSON RD STE C10, LAKE CHARLES, LA 70605-4169
(337) 240-7280
(337) 240-7288
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
311945
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2510363
—
LA
Enumeration date
05/01/2012
Last updated
08/24/2022
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