Organization
KROEKER MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL KROEKER D.O. (PHYSICIAN)
(918) 476-6030
Entity
Organization
Contact information
Practice address
108 WEST MAIN ST., CHOUTEAU, OK 74337
(918) 476-6030
(918) 476-6038
Mailing address
PO BOX 315, CHOUTEAU, OK 74337-0315
(918) 476-6030
(918) 476-6038
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4306
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123530A
—
OK
Enumeration date
07/19/2007
Last updated
05/02/2019
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