Organization
BERRY E WINN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERRY E WINN M.D. (PRESIDENT)
(918) 781-9466
Entity
Organization
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 781-9466
Mailing address
LOCKBOX #17, 2424 E. 21ST #100, TULSA, OK 74114-1711
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747830A
—
OK
Enumeration date
10/24/2005
Last updated
10/02/2013
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