Individual
DR. JOHN ROBERT BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 GARDEN OF THE GODS RD, STE 100, COLORADO SPRINGS, CO 80907
(719) 473-8801
(719) 473-8581
Mailing address
300 GARDEN OF THE GODS RD, STE 100, COLORADO SPRINGS, CO 80907
(719) 749-3606
(719) 473-8581
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
44251
CO
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
44251
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003866484
NPI
—
05
—
21637229
—
CO
01
—
DF0561
RR MEDICARE
—
Enumeration date
05/10/2006
Last updated
10/09/2024
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