Individual
DR. BRUCE KENT BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 GRANT ST, MALVERN, AR 72104
(501) 337-9031
(501) 337-9033
Mailing address
2223 GRANT ST, MALVERN, AR 72104
(501) 337-9031
(501) 337-9033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C5379
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102649001
—
AR
01
—
1526930000
QUALCHOICE
—
01
—
50816
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/05/2006
Last updated
11/18/2009
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