Individual
DR. CHERYL BERNICE KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
108 W MAIN ST, CHOUTEAU, OK 74337
(918) 476-6030
(918) 476-6038
Mailing address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 549-3079
(479) 549-3275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4306
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
OKLAHOMA BCBS
OK
05
—
200075950A
—
OK
05
—
200075950C
—
OK
05
—
200075950D
—
OK
Enumeration date
07/07/2006
Last updated
05/02/2019
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