Individual
DR. FREDRICK ANTHONY BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 HOSPITAL DR, UKIAH, CA 95482-4533
(707) 463-8000
(707) 462-1111
Mailing address
PO BOX 2739, UKIAH, CA 95482-2739
(707) 463-8000
(707) 462-1111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C33796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C337960
—
CA
Enumeration date
12/05/2005
Last updated
06/14/2011
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