Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | C4693 | AR |
NPI | 1063413573 |
---|---|
Provider Name | James F Burton |
First Address | Hot Springs, AR 71903-1850 |
Second Address | Hot Springs, AR 71913-6442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 17/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102395001 | (05) | AR |
D04416 | (02) |