Provider Demographics
NPI:1497754543
Name:BARNES, JOHN RENNER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RENNER
Last Name:BARNES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8817 E 109TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7213
Mailing Address - Country:US
Mailing Address - Phone:918-369-9541
Mailing Address - Fax:918-369-0162
Practice Address - Street 1:6839 S CANTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3402
Practice Address - Country:US
Practice Address - Phone:918-494-0612
Practice Address - Fax:918-481-5170
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2010-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK21945207L00000X
GA0500600207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology