Organization
PRIME PHYSICIAN STAFFING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE KRAJICEK DO (OWNER/MANAGER)
(918) 576-3150
Entity
Organization
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5537
Mailing address
20 E 5TH ST, TULSA, OK 74103-4439
(918) 576-3150
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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