Individual
JAY L KROTTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S LEWIS AVE, TULSA, OK 74104-1615
(918) 770-9333
(918) 213-4888
Mailing address
PO BOX 1430, LOCKBOX #5120, JENKS, OK 74037-1430
(918) 770-9333
(918) 213-4888
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
11/05/2018
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