Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 35.085280 | OH |
Y | 207SG0201X | Clinical Genetics (M.D.) | E-9899 | AR |
NPI | 1699983155 |
---|---|
Provider Name | Thomas Andrew Burrow |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 15/12/2016 |