Individual
DR. JACOB ADAM KRAJICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-5373
Mailing address
8509 N 102ND EAST AVE, OWASSO, OK 74055-2356
(918) 576-3150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
390200000X
OK
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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