Individual
DR. KENDALL ALAN CRUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2408 E 81ST ST, TULSA, OK 74137-4200
(918) 392-2780
Mailing address
1315 N NORTHRIDGE CT, SAND SPRINGS, OK 74063-8977
(918) 419-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101232629
VA
207L00000X
Anesthesiology Physician
Primary
28925
OK
207L00000X
Anesthesiology Physician
MD13224
RI
Other
Enumeration date
03/29/2006
Last updated
02/26/2015
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