Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 390200000 | OH |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 7092 | OK |
NPI | 1396123246 |
---|---|
Provider Name | Dr. Caleb Eugene Burrows |
First Address | Tulsa, OK 74104-5647 |
Second Address | Tulsa, OK 74104-5647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 04/09/2020 |