Individual provider · Type 1 NPI
Bryon John Gorton, MD
Specialist · O Fallon, IL
NPI number
1366500910
Active
Practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Fax (618) 222-4646
Mailing address
211 S 3rd St
Belleville, IL 62220-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036-078262 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366500910
Bryon John Gorton, MD's National Provider Identifier is 1366500910, issued on Dec 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in O Fallon, IL. The record was last updated on Dec 28, 2021.