# BERRY E WINN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811987761
- **Authorized official:** BERRY E WINN M.D. (PRESIDENT)
- **Authorized official phone:** (918) 781-9466

## Contact information

- **Practice address:** 300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
- **Practice address phone:** (918) 781-9466
- **Mailing address:** LOCKBOX \#17, 2424 E. 21ST \#100, TULSA, OK 74114-1711
- **Mailing address phone:** (866) 321-8433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | OK | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 10/02/2013