Individual
MICHAEL CONNOR CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 E. 41ST STREET, SUITE 900, TULSA, OK 74135-5631
(918) 934-8347
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 934-8347
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25836
OK
2085R0202X
Diagnostic Radiology Physician
25836
OK
2085R0202X
Diagnostic Radiology Physician
Primary
45750
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720086
—
AZ
01
—
P01159624
RR MEDICARE
AZ
Enumeration date
08/22/2007
Last updated
10/28/2025
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