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Contact Information

KIM D BURROUGHS, MD
677 N WILMOT RD
TUCSON, AZ85711-2701
 Phone: 520-795-2889
 Fax: 520-795-6321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Neuroimaging

2085D0003X
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for KIM D BURROUGHS · (Male)

NPI # 1598735896
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 02/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 22667
  • AZ Medicaid 247975
  • AZ Other 005472 GROUP MEDICAID ID
  • AZ Other ZWCBBM GROUP MEDICARE ID
  • AZ Other CS7943 GROUP MEDICARE RAILROAD ID & PTAN
  • AZ Other 1841261989 GROUP NPI
  • AZ Other 300022421 MEDICARE RAILROAD
  • AZ Other 1598735896 PHYSICIAN INDIVIDUAL NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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