Provider Demographics
NPI:1205931490
Name:BURROWS, SHELLYE K (MD)
Entity type:Individual
Prefix:DR
First Name:SHELLYE
Middle Name:K
Last Name:BURROWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 RIFLE CREEK TRAIL
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106
Mailing Address - Country:US
Mailing Address - Phone:406-534-1896
Mailing Address - Fax:
Practice Address - Street 1:2345 KING AVE W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6422
Practice Address - Country:US
Practice Address - Phone:406-651-5670
Practice Address - Fax:406-651-2171
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39009207Q00000X
AK4951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK4951OtherLICENSE
CO39009OtherLICENSE
AK4951OtherLICENSE