Burson, Jefferson Todd
Burson, Jefferson Todd is an individual health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Burson, Jefferson Todd can be contacted via phone (918) 728-6194.Contact Information
Primary practice address
1120 S Utica Ave
Tulsa OK 74104-4012
Phone: (918) 728-6194
Fax: (918) 664-2521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA838 | Oklahoma |
Profile Details
| NPI number | 1215928411 |
|---|---|
| LBN Legal business name | Burson, Jefferson Todd |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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