Individual
ZACHARY CRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7224 S ELWOOD AVE APT 26304, TULSA, OK 74132-2458
(405) 625-4494
Mailing address
7224 S ELWOOD AVE APT 26304, TULSA, OK 74132-2458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61538772
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2019
Last updated
04/22/2024
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