Individual
MR. CHARLES CLIFTON BURROUGHS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
NAVAL HOSPITAL GUAM, FARENHOLT AVE BLDG K-1, AGANA HEIGHTS, GU 96910
(671) 644-9054
Mailing address
999 S MARINE DR, ALUPANG BEACH TOWER #401, TAMUNING, GU 96913-3415
(671) 649-9666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164796
VA
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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