Provider Demographics
NPI:1144043712
Name:ORTON, JOHN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ORTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 E BATON ROUGE ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-7234
Mailing Address - Country:US
Mailing Address - Phone:480-522-5097
Mailing Address - Fax:
Practice Address - Street 1:705 E BATON ROUGE ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-7234
Practice Address - Country:US
Practice Address - Phone:480-522-5097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information