Healthcare Provider Details

I. General information

NPI: 1841333002
Provider Name (Legal Business Name): DONALD RALPH BARNEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5906 E 31ST ST SUITE 2
TULSA OK
74135-5110
US

IV. Provider business mailing address

5906 E 31ST ST SUITE 2
TULSA OK
74135-5110
US

V. Phone/Fax

Practice location:
  • Phone: 918-508-7008
  • Fax: 918-508-7006
Mailing address:
  • Phone: 918-508-7008
  • Fax: 918-508-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number1709
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: