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Individual

REBECCA LYNN BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4221 S WESTERN AVE, SUITE 3030, OKLAHOMA CITY, OK 73109-3447
(405) 636-7650
(405) 636-7743
Mailing address
5300 N INDEPENDENCE AVE, STE. 280, OKLAHOMA CITY, OK 73112-5556
(405) 636-7650
(405) 636-7743

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30461
OK
207Q00000X
Family Medicine Physician
E0906
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132209001
AR
01
5K324
BLUE CROSS AR
AR
01
5K324B477
MEDICARE PIN
AR
01
P00014909
RAILROAD MEDICARE PIN
AR
Enumeration date
06/15/2005
Last updated
07/19/2017
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