Burleene Mosburg, P.A.-C

NPI #1265588024 in Coweta, Oklahoma

Provider Information

NPI Number: 1265588024
Entity Type: Individual
Name: Burleene Mosburg, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jan 26, 2007
Last Updated: Jan 12, 2010

Practice Location

Address: 28622 E 141ST ST S
City: Coweta
State: Oklahoma
ZIP Code: 74429-7515
Phone: (918) 486-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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