Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2842 | AL |
NPI | 1063506533 |
---|---|
Provider Name | Dr. Harold Newton Burton |
First Address | Birmingham, AL 35216 |
Second Address | Birmingham, AL 35216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T68667 | (02) | AL |