IndividualActive
Jacob Burdett, DO
NPI 1104366574 · Otolaryngology Physician · Tulsa, OK
Provider details
- NPI number
- 1104366574
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036160720 (IL)
Practice location
6475 S Yale Ave Ste 401
Tulsa, OK 74136-7818
Phone: (918) 502-9555
Fax: (918) 502-9559
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Registry dates
- Enumerated
- 2017-03-03
- Last updated
- 2023-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.