Organization
BARRETT SPINAL CARE P C
Active
Organization
BARRETT SPINAL CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN THOMAS BARRETT D.C. (PRESIDENT)
(918) 453-0112
Entity
Organization
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
261Q00000X
Clinic/Center
Primary
3664
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515863800001
BLUE CROSS BLUE SHIELD OK
OK
Enumeration date
08/30/2006
Last updated
08/22/2020
Update your record
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