Phillip Ray Berry in Tulsa - Adult Medicine
Phillip Ray Berry - NPI 1114032539
Phillip Ray Berry is a Adult Medicine in Tulsa, Oklahoma. Phillip Ray Berry practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Phillip Ray Berry is 1114032539. The last update date is 2007-07-08.
Phillip Ray Berry's current location address is 1145 S Utica Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9185967078. The mailing address for Phillip Ray Berry is 1145 S Utica Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Ray Berry |
|---|---|
| Address | 1145 S Utica Ave, Tulsa, Oklahoma |
| Phone Number | 9185967078 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1114032539 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1145 S Utica Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741044000 |
| Phone Number | 9185967078 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 3021 |
|
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1203021 | OK | DHS PRESCRIBER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Phillip Ray Berry by the Centers for Medicare & Medicaid Services?
The Phillip Ray Berry has been assigned the NPI (National Provider Identifier) 1114032539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Phillip Ray Berry is physically located?
The Phillip Ray Berry is physically situated at the following address: 1145 S Utica Ave, Tulsa, OK, 741044000.
What is Phillip Ray Berry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phillip Ray Berry is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114032539 to Phillip Ray Berry?
The Centers for Medicare & Medicaid Services originally issued the 1114032539 to Phillip Ray Berry on 2006-08-19.
When was the Phillip Ray Berry's information last updated?
The Phillip Ray Berry's information was last updated on 2007-07-08.
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