Provider Demographics
NPI:1831955335
Name:BURROWS, AUSTIN ALEXANDER
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:ALEXANDER
Last Name:BURROWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CLAYDON WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-6036
Mailing Address - Country:US
Mailing Address - Phone:916-300-0771
Mailing Address - Fax:
Practice Address - Street 1:412 CLAYDON WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-6036
Practice Address - Country:US
Practice Address - Phone:916-300-0771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program