Brian Crotty D.O.

NPI 1003885583 - Family Medicine - 207Q00000X

NPI Details
NPI 1003885583
Gender Male
Enumeration Date 03/16/2006
Last Updated 01/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1919 S WHEELING AVE
LL 100
TULSA OK, 74104-5638, US
Phone (918) 748-7890
Fax (918) 293-3137
Business Location
1919 S WHEELING AVE
LL 100
TULSA OK, 74104-5638, US
Phone (918) 748-7890
Fax (918) 293-3137
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 2855
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According to our database, Brian Crotty D.O. NPI is 1003885583, taxonomy code is 207Q00000X and license number is 2855, license state is located at Oklahoma. Brian Crotty D.O. physically located at 1919 S Wheeling Ave, Tulsa OK, 74104-5638. NPI Number Brian Crotty D.O. has the Individual type.

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1003885583 NPI number is provided on an as is basis without warranty of any kind. 1003885583 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Crotty D.O. are for informational purposes only.