MEDICARE: DR. BURTON RONALD ADRIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	27503	IA

General Provider Information

NPI Number	:	1730138769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BURTON RONALD ADRIAN M.D.

Provider Business Mailing Address
First Line	:	1710 TIMBERLEDGE DR
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-1739
Country	:	US
Telephone Number	:	319-277-8739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 S HACKETT RD
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50701-3500
Country	:	US
Telephone Number	:	319-235-1230
Fax Number	:	319-235-1229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	07/08/2007

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