Organization
AMERIRAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M. BURTON MD (PRESIDENT)
(304) 598-2291
Entity
Organization
Contact information
Practice address
99 J D ANDERSON DR, MORGANTOWN, WV 26505-4000
(304) 598-2291
(304) 598-2293
Mailing address
PO BOX 1645, MORGANTOWN, WV 26507-1645
(304) 598-2291
(304) 598-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
NA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365372
BCBSOH
OH
01
—
001706151
BCBS
WV
05
—
101375266
—
PA
01
—
20460200
FEDERAL BLACK LUNG
—
05
—
2650701
—
IL
05
—
3810001884
—
WV
01
—
601168800
US DEPT. OF LABOR
—
01
—
601168805
US DEPT. OF LABOR
OH
01
—
DC1733
RAILROAD MC
WV
01
—
DE3255
RAILROAD MC
OH
Enumeration date
05/20/2006
Last updated
10/07/2008
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