Individual
PENNI A BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 743-8838
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 743-8838
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17770
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053130A
—
OK
01
—
300021520
RAILROAD MEDICARE
OK
01
—
300129649
RAILROAD MEDICARE
OK
Enumeration date
11/22/2005
Last updated
04/13/2022
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