Individual
MR. BOB BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1590 W LIBERTY RD, ATOKA, OK 74525-1701
(580) 889-3333
Mailing address
804 W ENID AVE, WILBURTON, OK 74578-2248
(580) 239-0449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA642
OK
Other
Enumeration date
02/15/2007
Last updated
09/30/2020
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