Healthcare Provider Details

I. General information

NPI: 1447237912
Provider Name (Legal Business Name): ANNE K HARRINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 S ELM PL STE 430
BROKEN ARROW OK
74012-7877
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3310
US

V. Phone/Fax

Practice location:
  • Phone: 918-449-4061
  • Fax: 918-449-4065
Mailing address:
  • Phone: 918-488-6001
  • Fax: 918-488-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15782
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: