Connie L Burch
NPI #1154689487 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1154689487
- Entity Type
- Individual
- Name
- Connie L Burch
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 3112 NW EXPRESSWAY APT 115
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-4016
- Phone
- (405) 397-1319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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