Burleene Mosburg, P.A.-C
Physician Assistant in Coweta, OK. Individual provider (NPI-1).
NPI number1265588024
StatusActive
Last updated in NPPESJan 12, 2010
Details
- NPI
- 1265588024
- Entity type
- Individual (NPI-1)
- Name
- Burleene Mosburg
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2007
- Last updated
- Jan 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA546 | OK | Yes |
Practice location
28622 E 141st St SCoweta, OK 74429-7515
Phone 918-486-7425 · Fax 918-279-6884
Mailing address
28622 E 141st St SPo Box 1030
Coweta, OK 74429-7515
Phone 918-486-7425 · Fax 918-279-6884
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