Individual
JEFFREY O BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-1240
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1862
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200279660A
—
OK
Enumeration date
02/11/2010
Last updated
10/26/2022
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