Russell George Burton O.D.

NPI 1023225158 - Optometrist - 152W00000X

NPI Details
NPI 1023225158
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3127 W IMPERIAL HWY
INGLEWOOD CA, 90303-2808, US
Phone (310) 330-0331
Fax
Business Location
3127 W IMPERIAL HWY
INGLEWOOD CA, 90303-2808, US
Phone (310) 330-0331
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 4487
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According to our database, Dr. Russell George Burton O.D. NPI is 1023225158, taxonomy code is 152W00000X and license number is 4487, license state is located at California. Russell George Burton O.D. physically located at 3127 W Imperial Hwy, Inglewood CA, 90303-2808. NPI Number Russell George Burton O.D. has the Individual type.

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1023225158 NPI number is provided on an as is basis without warranty of any kind. 1023225158 is maintained by the National Plan & Provider Enumeration System. The contents of Russell George Burton O.D. are for informational purposes only.