Individual
DR. MICHAEL BURROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
JOHN A MORAN EYE CENTER 65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
(801) 585-7689
Mailing address
JOHN A MORAN EYE CENTER 65 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10505898-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
09/21/2017
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