Individual
DR. CRYSTA CHATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
591 E 36TH ST N, TULSA, OK 74106-1812
(918) 619-4400
(918) 619-7875
Mailing address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4400
(918) 619-4696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39103
OK
207Q00000X
Family Medicine Physician
MD043377
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201100510A
—
OK
Enumeration date
06/25/2012
Last updated
11/19/2024
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