Provider Demographics
NPI:1801162433
Name:BURKE, JOSHUA (DO)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:BURKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:244 S. GATEWAY PLACE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037
Mailing Address - Country:US
Mailing Address - Phone:918-747-2020
Mailing Address - Fax:918-747-2056
Practice Address - Street 1:244 S. GATEWAY PLACE
Practice Address - Street 2:SUITE 401
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037
Practice Address - Country:US
Practice Address - Phone:918-747-2020
Practice Address - Fax:918-747-2056
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2019-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK5358207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology