Individual
MATTHEW STUART KRUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-5504
Mailing address
12600 N MACARTHUR BLVD APT 1619, OKLAHOMA CITY, OK 73142-2951
(405) 819-7130
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
39651
OK
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
39651
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
06/08/2022
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