Individual
WILLIAM BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1923 E 21ST ST, SUITE 200, TULSA, OK 74114-1419
(918) 744-6966
(918) 747-2319
Mailing address
1923 E 21ST ST, SUITE 200, TULSA, OK 74114-1419
(918) 744-6966
(918) 747-2319
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10308
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00291764
RR MEDICARE
OK
Enumeration date
07/10/2006
Last updated
10/25/2007
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