Individual
JONATHAN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27929
OK
2085R0202X
Diagnostic Radiology Physician
C203414
CA
2085R0202X
Diagnostic Radiology Physician
Q4075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200315750A
—
OK
Enumeration date
06/15/2010
Last updated
08/06/2025
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