Provider Demographics
NPI:1063440782
Name:BURROWS, BRIAN N (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:N
Last Name:BURROWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3040
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-3040
Mailing Address - Country:US
Mailing Address - Phone:435-865-0218
Mailing Address - Fax:435-865-0228
Practice Address - Street 1:1333 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-9113
Practice Address - Country:US
Practice Address - Phone:435-865-0218
Practice Address - Fax:435-865-0228
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5876900-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT5804001Medicare ID - Type Unspecified
I42618Medicare UPIN