Individual
MR. DUSTIN S BURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 E BROADWAY ST, ALTUS, OK 73521-5507
(580) 477-3305
(580) 477-2423
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3658
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3078
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100639920C
—
OK
Enumeration date
02/01/2006
Last updated
01/08/2019
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