Individual
DR. PALAK L KRUSHIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MERCY WAY STE 20, BELLA VISTA, AR 72714-3000
(479) 802-5555
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35843
OK
390200000X
Student in an Organized Health Care Education/Training Program
35843
OK
Other
Enumeration date
04/09/2020
Last updated
10/06/2023
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