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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTY G BURROUGHS SR.

Active Sole Proprietor

MARTY G BURROUGHS SR. is a Van Provider healthcare provider located in SAINT ROBERT, Missouri. NPI 1588037154 is currently active in the NPPES registry. Verify at CMS.

Van Provider · SAINT ROBERT, MO

Registration Details

NPI Number
1588037154
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2015 (10.780799255652 yrs)
Last Updated
Jun 20, 2018
License
S135329002 (MO)
Sole Proprietor
Yes

Practice Information

Address
15275 TEXAS RD
SAINT ROBERT, MO, 655843232
Browse MO providers · Browse ZIP 65584
Phone
5737748364
Primary Specialty
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.