Individual
ADAM KROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8550
(405) 260-8098
(405) 757-3499
Mailing address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6890
OK
Other
Enumeration date
07/17/2012
Last updated
05/07/2020
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