Individual
JEFFREY RYAN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(859) 779-1221
Mailing address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(859) 779-1221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3204
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
07/27/2024
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