NPI 1104366574

Jacob Mark Burdett, DO

Practitioner Otolaryngology Physician Tulsa, OK

Practice location

Address: 6475 S Yale Ave STE 401, Tulsa, OK 74136-7818
Phone: (918) 502-9555
Fax: (918) 502-9559
Mailing address: 6600 S Yale Ave STE 1400, Tulsa, OK 74136-3331

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 7558 (OK)

Other Otolaryngology providers in Oklahoma →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036160720 (IL)

Registry record

NPI: 1104366574
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2017
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.