Individual provider · Type 1 NPI

Phillip Ray Berry, DO

Adult Medicine Physician · Tulsa, OK

NPI number 1114032539 Active

Practice location

1145 S Utica Ave, Suite 453
Tulsa, OK 74104-4000

Mailing address

7514 S 107th East Ave
Tulsa, OK 74133-2530

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X3021 (OK)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1114032539

Phillip Ray Berry, DO's National Provider Identifier is 1114032539, issued on Aug 19, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.