Individual
BARRY EDWARD DOCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 582-1980
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OT021225
PA
390200000X
Student in an Organized Health Care Education/Training Program
6645
OK
Other
Enumeration date
05/23/2017
Last updated
09/08/2021
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