Organization
STARBUCK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RAE STARBUCK APRN-CNP (OWNER, MEMBER, MANAGER)
(580) 977-8802
Entity
Organization
Contact information
Practice address
11900 N MACARTHUR SUITE F7, OKLAHOMA CITY, OK 73162
(580) 977-8802
Mailing address
8341 WOLF LAKE DRIVE, PIEDMONT, OK 73078
(580) 977-8802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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