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Individual

JASON CRYTZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2612
(405) 701-9880
(405) 701-9881
Mailing address
3200 QUAIL SPRINGS PKWY STE 200, OKLAHOMA CITY, OK 73134-2612
(405) 701-9880
(405) 701-9881

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
944
OK
363AM0700X
Medical Physician Assistant
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100125090A
OK
Enumeration date
10/05/2005
Last updated
10/22/2015
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