Individual
HEATHER DIANNE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1205 HEALTH CENTER PKWY, SUITE 100, YUKON, OK 73099-6396
(405) 717-5400
(405) 717-5467
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-5400
(405) 717-5467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200164750A
—
OK
Enumeration date
04/19/2007
Last updated
07/19/2017
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