Provider Demographics
NPI:1770533911
Name:BURROUGHS, ARTHUR A (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:A
Last Name:BURROUGHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13111 E BRIARWOOD AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3930
Mailing Address - Country:US
Mailing Address - Phone:303-805-1800
Mailing Address - Fax:303-805-9323
Practice Address - Street 1:13111 E BRIARWOOD AVE
Practice Address - Street 2:STE 250
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3930
Practice Address - Country:US
Practice Address - Phone:303-805-1800
Practice Address - Fax:303-805-9323
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01363035Medicaid
CO110216007OtherRR MEDICARE
CO01363035Medicaid
COG68950Medicare UPIN