Individual
MRS. TRICIA MICHELLE BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6732 PERIMETER LOOP ROAD, DUBLIN, OH 43017-3202
(614) 798-9940
(614) 798-9913
Mailing address
81 E GAY STREET, COLUMBUS, OH 43215-3103
(614) 224-2414
(614) 224-5916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5176
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256062
—
OH
Enumeration date
07/26/2006
Last updated
07/08/2007
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