MEDICARE: DR. CHRISTOPHER R BURROWS M.D.

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
1	208D00000X	General Practice Physician	37888	WI
2	207P00000X	Emergency Medicine Physician	C145159	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619025228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER R BURROWS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1628
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-1628
Country	:	US
Telephone Number	:	760-379-2681
Fax Number	:	760-379-2321

Provider Business Practice Location Address
First Line	:	6412 LAUREL AVE
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9529
Country	:	US
Telephone Number	:	760-379-2681
Fax Number	:	760-379-2321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	06/28/2018

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Directions to “ DR. CHRISTOPHER R BURROWS M.D.” Practice Location

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