| Burrows Family Practice, Inc. | |
|
1377 S Grand Ave Glendora CA 91740-5047 | |
| (626) 483-3348 | |
| (626) 623-7258 |
| Full Name | Burrows Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1377 S Grand Ave, Glendora, California |
| Authorized Official Name and Position | Toni Muus (OFFICE MANAGER) |
| Authorized Official Contact | 6264833348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burrows Family Practice, Inc. 1377 S Grand Ave Glendora CA 91740-5047 Ph: (626) 483-3348 | Burrows Family Practice, Inc. 1377 S Grand Ave Glendora CA 91740-5047 Ph: (626) 483-3348 |
| NPI Number | 1003361890 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 3678861457 |
|---|---|
| Medicare Enrollment ID | O20161011001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003361890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | A43321 (California) | Primary |
| Provider Name | Oliver M Burrows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033157979 PECOS PAC ID: 6709913791 Enrollment ID: I20100422001047 |
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