Provider Demographics
NPI:1881635621
Name:BURTON, RICHARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:BURTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13576 LOWER COLFAX RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-9601
Mailing Address - Country:US
Mailing Address - Phone:530-889-7119
Mailing Address - Fax:530-886-1810
Practice Address - Street 1:379 NEVADA ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3722
Practice Address - Country:US
Practice Address - Phone:530-308-1748
Practice Address - Fax:530-886-1810
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA445422083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine