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Individual

JACOB MARK BURDETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6475 S YALE AVE STE 401, TULSA, OK 74136-7818
(918) 502-9555
(918) 502-9559
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036160720
IL
207Y00000X
Otolaryngology Physician
Primary
7558
OK

Other

Enumeration date
03/03/2017
Last updated
12/14/2023
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