Provider Demographics
NPI:1528740313
Name:BURTON, MADISON ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:MADISON
Middle Name:ELIZABETH
Last Name:BURTON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:3801 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-269-6583
Practice Address - Fax:417-269-6573
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-10-12
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Provider Licenses
StateLicense IDTaxonomies
MO2023031486363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant