person
Phillip Ray Berry, DO
Adult Medicine Physician in Tulsa, Oklahoma
NPI 1114032539

Phillip Ray Berry is an Adult Medicine Physician based in Tulsa, OK and is specialized in Adult Medicine. Phillip Ray Berry practices in Tulsa, OK and has the professional credentials of DO. The NPI Number for Phillip Ray Berry is 1114032539 and holds a License No. 3021 (Oklahoma).

The current practice location address for Phillip Ray Berry is 1145 S Utica Ave, Tulsa, OK and can be reached out via phone at 918-596-7078.

Location: 1145 S Utica Ave, Tulsa, OK, 74133-2530
person
Provider Profile Details
NPI Number
1114032539
Provider Name
Phillip Ray Berry
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1145 S Utica Ave, Tulsa, OK, 74133-2530
Phone Number
918-596-7078
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1203021 01 OK DHS PRESCRIBER NUMBER
institution
Provider Business Practice Location Address Details
Address
1145 S Utica Ave
City
State
Zip
74104-4000
Phone Number
918-596-7078
Fax Number
person
Provider Business Mailing Address Details
Address
1145 S Utica Ave
City
State
Zip
74104-4000
Phone Number
918-596-7078
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
3021 (Oklahoma)
Definition
Definition to come.
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