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ROBERT A. BURTON MD
Neurology >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1063910669
Individual Registrant: ROBERT A. BURTON MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
103 CENTRAL AVE SAUSALITO, CA 94965-2311 US
Tel: 415-332-3899 Fax: 415-332-3899
Tel: 415-332-3899 Fax: 415-332-3899
Contact information for business:
103 CENTRAL AVE SAUSALITO, CA 94965-2311 US
Tel: 415-332-3899 Fax: 415-332-5522
Tel: 415-332-3899 Fax: 415-332-5522
Registration Information:
NPI: 1063910669
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology | CA | AFE22432 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE SHIELD | NONE | 01 |
