Individual
DR. RYAN THOMAS BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
441 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4427
(918) 453-0112
Mailing address
PO BOX 1778, TAHLEQUAH, OK 74465-1778
(918) 453-0112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3664
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51863800001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
08/30/2006
Last updated
11/02/2018
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