Individual
TIMOTHY RICHARD BURMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
100 S BLISS AVE, MEDICAL STAFFING, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
110244 S 4700 RD, MULDROW, OK 74948-7738
(918) 235-0448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78334
OK
363LF0000X
Family Nurse Practitioner
A03302
AR
Other
Enumeration date
07/31/2009
Last updated
09/28/2009
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