BRUCE K BURTON MD PA
Ambulatory Health at Grant St, Malvern, AR

License number
Arkansas MC 0784
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. BRUCE KENT BURTON MD
Title: PRESIDENT OWNER
Phone: (501) 337-9031
Address
Address
2223 Grant St, Malvern, AR 72104
National Provider ID: 1376639344
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRUCE K. BURTON, M.D., PA

2223 Grant, Malvern, AR 72104

Registration:
Jun 15, 1981
State ID:
100008886
Business type:
For Profit Corporation
Presidents:
James M Lemons (Tax Preparer),Bruce K Burton (President)
Agent:
Bruce K. Burton,2223 Grant, Malvern, AR 72104 (Physical)
Filled under act:
Dom Bus Corp; 576 of 1965

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