Individual
BRENT ASHLEY BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91-2135 FORT WEAVER RD FL 3, EWA BEACH, HI 96706-1940
(808) 691-3135
Mailing address
91-2135 FORT WEAVER RD FL 3, EWA BEACH, HI 96706-1940
(808) 691-3135
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD-19976
HI
Other
Enumeration date
11/17/2007
Last updated
10/13/2023
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