STEPHANIE DIANE BURLESON

BIXBY, OK
NPI1457556474
Former NameSTEPHANIE DIANE PROCTOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  4280)
Enumeration Date2007-06-19
Last Update Date2012-10-15
Business Address
Dr. STEPHANIE DIANE BURLESON D.O.
11911 S MEMORIAL DR
BIXBY, OK 74008-2030
Phone number: 918-497-3700
Mailing Address
Dr. STEPHANIE DIANE BURLESON D.O.
6600 S YALE AVE SUITE 1400
TULSA, OK 74136-3347
Phone number: 918-488-6001