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Individual

DR. STEPHANIE BURROWS

Active
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Individual

DR. STEPHANIE BURROWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36274
IA
207P00000X
Emergency Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03063
BCWELLMARK TP
05
036113408001
IL
05
0594408
IA
05
1594408
IA
01
92039
BCWELLMARK WEST
01
92053
BCWELLMARK 7TH
01
IA0101
JOHN DEERE TP
01
IL0181
JOHN DEERE ILLINOIS
01
P00272204
RR MEDICARE
Enumeration date
02/17/2006
Last updated
10/20/2007
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