Individual
MAIDA L BURROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2024 BASELINE DR, GRAND JCT, CO 81507-9583
(970) 243-5785
(970) 242-2559
Mailing address
2024 BASELINE DR, GRAND JCT, CO 81507-9583
(970) 243-5785
(970) 242-2559
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26621
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010873
RAILROAD MCR PTAN
CO
01
—
29274
BCBS
—
Enumeration date
10/12/2006
Last updated
08/17/2017
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