Maida L Burrow in Grand Jct - Specialist

Maida L Burrow - NPI 1073602439

Maida L Burrow is a Specialist in Grand Jct, Colorado. Maida L Burrow practices all healthcare services and medical treatments related to Specialist. The NPI Number for Maida L Burrow is 1073602439. The last update date is 2017-08-17.

Maida L Burrow's current location address is 2024 Baseline Dr, Grand Jct, Colorado. You can contact this provider via phone number 9702435785 and fax number 9702422559. The mailing address for Maida L Burrow is 2024 Baseline Dr, Grand Jct, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Maida L Burrow
Address 2024 Baseline Dr, Grand Jct, Colorado
Phone Number 9702435785
Fax Number 9702422559
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1073602439
Provider Enumeration Date 2006-10-12
Last Updated Date 2017-08-17

Provider Mailing Address Detail

Address 2024 Baseline Dr
City Grand Jct
State Colorado (CO)
Post Code 815079583
Phone Number 9702435785
Fax Number 9702422559

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 26621
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70010873 CO RAILROAD MCR PTAN
29274 BCBS

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FAQs about Maida L Burrow

What is the unique 10-digit identification code issued to Maida L Burrow by the Centers for Medicare & Medicaid Services?

The Maida L Burrow has been assigned the NPI (National Provider Identifier) 1073602439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Maida L Burrow is geographically located?

The Maida L Burrow is physically situated at the following location: 2024 Baseline Dr, Grand Jct, CO, 815079583.

What is Maida L Burrow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Maida L Burrow is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date was the 1073602439 assigned to Maida L Burrow?

The Maida L Burrow was issued its 1073602439 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Maida L Burrow most recently updated or revised?

The information pertaining to Maida L Burrow, including its address, specialty, and other relevant details, was last updated or revised on 2017-08-17.

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