Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTY G BURROUGHS SR.
Active Sole ProprietorMARTY 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 RDSAINT ROBERT, MO, 655843232Browse 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.