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Individual
MR. PHIL JOSEPH BURKE
Active
Individual
MR. PHIL JOSEPH BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1959
OK
363AM0700X
Medical Physician Assistant
1959
OK
363AS0400X
Surgical Physician Assistant
1959
OK
Other
Enumeration date
01/17/2011
Last updated
09/11/2020
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