BURKE, PHIL JOSEPH - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

BURKE, PHIL JOSEPH

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	VARIETY CARE SEQUOYAH 2400 NW 36TH STREET SUITE 100 OKLAHOMA CITY OK 73112 Address last updated on 4/12/2024
Phone #:	(405) 632-6688
Fax #:	(405) 768-5764
County:	OKLAHOMA
License:	1959
Dated:	1/14/2011
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
VARIETY CARE SEQUOYAH 2400 NW 36TH STREET SUITE 100 OKLAHOMA CITY OK 73112 Phone #: (405) 632-6688 Fax #: (405) 768-5764

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
NELSON IVAN AGUDELO HIGUITA	MD	25170
Hilda Rodriguez	DO	6240
SHELEATHA MICHELLE TAYLOR-BRISTOW	MD	27765

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