NPI 1023744059

Michael Burton

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 84 Charter Oak Dr, Groton, CT 06340-2954
Phone: (614) 565-5367

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1023744059
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2022
Record last updated: 1 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.