Individual
CANDICE JOY BURKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
13499 N 390 RD, HULBERT, OK 74441-5621
(918) 931-0141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1851
OK
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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