Individual
ALISA CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD # 9000, OKLAHOMA CITY, OK 73104-5018
(405) 271-5781
(405) 271-3919
Mailing address
800 STANTON L YOUNG BLVD # 9000, OKLAHOMA CITY, OK 73104-5018
(405) 271-5781
(405) 271-3919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00-2040
GA
208600000X
Surgery Physician
Primary
31186
OK
2086S0102X
Surgical Critical Care Physician
MD447864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028277250001
—
PA
Enumeration date
01/31/2008
Last updated
12/08/2021
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