Individual
KATIE NICOLE BURDEN-GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W MAIN ST, WELEETKA, OK 74880
(918) 650-6010
(918) 332-9158
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30857
OK
Other
Enumeration date
06/01/2011
Last updated
07/23/2024
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