Individual
GEORGE BURR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 W 4TH ST, ADA, OK 74820-3411
(580) 436-2690
Mailing address
111 E 12TH ST, ADA, OK 74820-6501
(580) 436-2690
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
02/10/2023
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