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Individual

BURTON F ALEXANDER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(757) 466-8892
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055171
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005808405
VA
01
10951
OPTIMA
VA
Enumeration date
05/23/2005
Last updated
04/26/2011
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