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Individual

DR. ROBERT P BURROWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1179 S MARKET BLVD, CHEHALIS, WA 98532-3427
(360) 748-9228
(360) 748-4617
Mailing address
PO BOX 1126, CHEHALIS, WA 98532-0169
(360) 748-9228
(360) 748-4617

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
00001416
WA
152W00000X
Optometrist
Primary
OD00001416
WA
152WC0802X
Corneal and Contact Management Optometrist
OD00001416
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036580
L&I CLINIC GROUP NUMBER
WA
01
0052484
L&I RPBURROWS ONLY
WA
05
2030237
WA
05
2046506
WA
01
BU0836
REGENCE RPBURROWS ONLY
WA
01
HE7836
REGENCE CLINIC NUMBER
WA
Enumeration date
09/21/2006
Last updated
09/16/2021
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