Individual
MS. AMY BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 STARTING POINT DR, PONCA CITY, OK 74601-8308
(580) 749-7322
Mailing address
210 STARTING POINT DR, PONCA CITY, OK 74601-8308
(580) 749-7322
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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