Individual
NATHAN DAVID BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9411 N OAK TRFY, STE 202, KANSAS CITY, MO 64155-2262
(816) 468-8820
(816) 468-8898
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0415409
KS
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
R5304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201188521
—
MO
Enumeration date
12/20/2005
Last updated
02/08/2010
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