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Individual

HAROLD M BURKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 CHILDRENS AVE, STE 2E, OKLAHOMA CITY, OK 73104-4637
(405) 271-5789
(405) 271-1643
Mailing address
1200 CHILDRENS AVE, STE 2E, OKLAHOMA CITY, OK 73104-4637
(405) 271-5789
(405) 271-1643

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
102837
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
30311
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35095
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
41824
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
53246
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0414433
IA
05
200515750A
OK
01
330004982
RAILROAD MEDICARE
MN
05
34450000
WI
01
35127
WELLMARK BCBS
IA
05
755719100
MN
05
ENROLLED
IA
Enumeration date
08/24/2005
Last updated
11/07/2016
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