Individual
MR. ROBERT EARL BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
408 N ASTER AVE, BROKEN ARROW, OK 74012-9447
(918) 853-2397
Mailing address
408 N ASTER AVE, BROKEN ARROW, OK 74012-9447
(918) 853-2397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80824
OK
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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