Individual
MR. PHIL JOSEPH BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 W RENO AVE, OKLAHOMA CITY, OK 73107-6632
(405) 632-6688
(844) 689-9671
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1959
OK
363AM0700X
Medical Physician Assistant
1959
OK
363AS0400X
Surgical Physician Assistant
1959
OK
Other
Enumeration date
01/17/2011
Last updated
09/11/2020
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