Provider Demographics
NPI:1932434669
Name:BURROW, CHRISTOPHER RANDOLPH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RANDOLPH
Last Name:BURROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1155 CAMINO DEL MAR # 429
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2605
Mailing Address - Country:US
Mailing Address - Phone:858-205-2573
Mailing Address - Fax:650-284-2126
Practice Address - Street 1:1310 CAMINO DEL MAR, SUITE C
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2605
Practice Address - Country:US
Practice Address - Phone:858-259-8987
Practice Address - Fax:650-284-2126
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52818207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology