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Individual

JAMES EDWARD CRUTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4600
(918) 619-4601
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3632
(918) 660-3631

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19282
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100629140C
OK
Enumeration date
02/08/2006
Last updated
05/30/2013
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