Individual
WENDY LYNN BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(940) 328-2771
Mailing address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(940) 328-2771
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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