Basic Information
Provider Information
NPI: 1811944135
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURROW
FirstName: CLAUDE
MiddleName: HOKE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5450 WESTERN AVE
Address2: SUITE B
City: BOULDER
State: CO
PostalCode: 803012709
CountryCode: US
TelephoneNumber: 3035445783
FaxNumber: 3034412388
Practice Location
Address1: 1100 BALSAM AVE
Address2: SURGERY SERVICES
City: BOULDER
State: CO
PostalCode: 803043404
CountryCode: US
TelephoneNumber: 3034402147
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/30/2006
LastUpdateDate: 11/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0122XDR.0023152COY Allopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery

No ID Information.


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