Organization
CROSSROADS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY CANNON (CLINIC MANAGER)
(405) 585-2030
Entity
Organization
Contact information
Practice address
2508 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 585-2030
Mailing address
2508 N HARRISON ST, SHAWNEE, OK 74804-3131
(405) 585-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/20/2023
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