Individual
BRIAN CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1919 S WHEELING AVE, LL 100, TULSA, OK 74104
(918) 748-7890
(918) 403-6300
Mailing address
1919 S WHEELING AVE, LL 100, TULSA, OK 74104-5638
(918) 748-7890
(918) 403-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2855
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117940A
—
OK
Enumeration date
03/16/2006
Last updated
07/18/2018
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