Phillip Ray Berry
Family Doctor - Adult Medicine
1145 S Utica Ave Suite 453
Tulsa
, Oklahoma 74104-4000
Phillip Ray Berry
Family Doctor - Adult Medicine
1145 S Utica Ave Suite 453
Tulsa
, Oklahoma 74104-4000
(918) 252-0038
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Phillip Ray Berry
- 7514 S 107th East Ave
- Tulsa, OK
- Zip : 74133-2530
- Phone : (918) 252-0038
Second Address
- Phillip Ray Berry
- 1145 S Utica Ave Suite 453
- Tulsa, OK
- Zip : 74104-4000
- Phone : (918) 596-7078
Reviews
FAQs
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What type of doctor is Phillip Ray Berry
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 3021 | OK |
National Provider Identifier
| NPI | 1114032539 |
|---|---|
| Provider Name | Phillip Ray Berry |
| First Address | Tulsa, OK 74133-2530 |
| Second Address | Tulsa, OK 74104-4000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1203021 | DHS PRESCRIBER NUMBER (01) | OK |
| F-69132 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.