Individual
DR. PEGGY J KRISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1705 E 19TH ST, STE 706, TULSA, OK 74104-5405
(918) 748-7824
(918) 748-7833
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5410
(918) 748-7585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21703
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21703
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119330A
—
OK
Enumeration date
03/14/2006
Last updated
04/06/2018
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