Marty Burroughs
NPI 1588037154 · on the registry since 2015 · sole proprietor
Practice
- Address
- 15275 Texas Rd
Saint Robert, MO 65584 - Phone
- (573) 774-8364
Registry record
- Primary taxonomy
- Taxi
344600000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri