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NPI Code Detail

MEDICARE: DR. SHELLYE K BURROWS MD

MEDICARE: DR. SHELLYE K BURROWS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician39009CO
2207Q00000XFamily Medicine Physician4951AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14951OTHERAKLICENSE
239009OTHERCOLICENSE

General Provider Information

NPI Number : 1205931490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLYE K BURROWS MD
Provider Business Mailing Address
First Line : 4005 RIFLE CREEK TRAIL
Second Line :
City : BILLINGS
State : MT
Zip : 59106
Country : US
Telephone Number : 406-534-1896
Fax Number :
Provider Business Practice Location Address
First Line : 2345 KING AVE W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6422
Country : US
Telephone Number : 406-651-5670
Fax Number : 406-651-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 09/11/2025

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