Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MARK BURDETT, DO
ActiveJACOB MARK BURDETT, DO is a Otolaryngology healthcare provider located in TULSA, Oklahoma. NPI 1104366574 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · TULSA, OK
Registration Details
- NPI Number
- 1104366574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2017 (9.4333325812156 yrs)
- Last Updated
- Dec 14, 2023
- Licenses
-
036160720 (IL)7558 (OK)
Practice Information
- Address
-
6475 S YALE AVE STE 401TULSA, OK, 741367818Browse OK providers · Browse ZIP 74136
- Phone
- 9185029555
- Fax
- 9185029559
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| CHARLES E HEINBERG | M.D. | 1790782506 |
| ROLLIE EMER RHODES | M.D. | 1881691699 |
| DAVID WILLIAM WHITE | M.D. | 1508864836 |
| EDWARD L BARNS | MD | 1922007988 |
| ALEN MUNSON FULLER | M.D. | 1164422408 |
| ROBERT H NELSON | MD | 1265425540 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.