BURKS, MIAH ANAY - Licensee Information

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BURKS, MIAH ANAY

Practice Address:	ST MARY'S REGIONAL MEDICAL CENTER 305 S 5TH ENID OK 73701 Address last updated on 10/10/2023
Phone #:	(580) 249-3071
Fax #:
County:	GARFIELD
License:	2265
Dated:	10/10/2023
Expires:	4/30/2024
License Type:	Provisional Respiratory Care
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
ST MARY'S REGIONAL MEDICAL CENTER 305 S 5TH ENID OK 73701 Phone #: (580) 249-3071 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMBER LYNN WILLIAMS	RC	3798

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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