Organization
MAIDA L. BURROW M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIDA LOUISE BURROW M.D. (OWNER)
(970) 242-0060
Entity
Organization
Contact information
Practice address
790 WELLINGTON AVE STE 103, GRAND JUNCTION, CO 81501-6127
(970) 242-0060
(970) 242-6604
Mailing address
790 WELLINGTON AVE STE 103, GRAND JUNCTION, CO 81501-6127
(970) 242-0060
(970) 242-6604
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
26621
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26621
—
CO
01
—
29274
BCBS
CO
Enumeration date
04/20/2009
Last updated
04/20/2009
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