Individual
IAN MCVAY BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2924 COLORADO AVE, TURLOCK, CA 95382-1313
(209) 818-5752
Mailing address
2924 COLORADO AVE, TURLOCK, CA 95382-1313
(209) 818-5752
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
D3950089
CA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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