JEFFERSON TODD BURSON

TULSA, OK
NPI1215928411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  PA838)
Enumeration Date2005-11-04
Last Update Date2007-07-08
Business Address
-- JEFFERSON TODD BURSON PA-C
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 918-728-6194
Mailing Address
-- JEFFERSON TODD BURSON PA-C
4500 S GARNETT RD SUITE 919
TULSA, OK 74146-5229
Phone number: 918-728-6194