Organization
PEDIATRIC CARE OF SAPULPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MCCRACKEN DO (PRESIDENT)
(918) 745-0800
Entity
Organization
Contact information
Practice address
615 S MISSION ST, SAPULPA, OK 74066-4635
(918) 745-0800
(918) 745-0028
Mailing address
615 S MISSION ST, SAPULPA, OK 74066-4635
(918) 745-0800
(918) 745-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OK
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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