Individual
MR. WILLIAM F BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.F.A.
Contact information
Practice address
8803 S 101ST EAST AVE, STE 320, TULSA, OK 74133-5726
(918) 294-8000
(918) 392-5648
Mailing address
8803 S 101ST EAST AVE, STE 320, TULSA, OK 74133-5726
(918) 294-8000
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
120934
OK
246ZS0410X
Surgical Technologist
120934
OK
Other
Enumeration date
02/03/2012
Last updated
09/18/2019
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