Basic Information
| Provider Information | |||||||||
| NPI: | 1073530812 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROCKLER | ||||||||
| FirstName: | BARRY | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3509 FRENCH PARK DR | ||||||||
| Address2: | STE D | ||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730347296 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4057154500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3509 FRENCH PARK DR | ||||||||
| Address2: | STE D | ||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730347296 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4057154500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | 13073 | OK | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | E-0491 | AR | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | 04-24523 | KS | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.