Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | G054506 | CA |
Y | 207RG0100X | Gastroenterologist | 0101261087 | VA |
N | 207RG0100X | Gastroenterologist | G054506 | CA |
NPI | 1932117322 |
---|---|
Provider Name | Floyd Vernon Burton |
First Address | Baltimore, MD 21297-3174 |
Second Address | Leesburg, VA 20176-5101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 09/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G0545060 | (05) | CA |
A52734 | (02) | CA |