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Organization

PRIME PHYSICIAN STAFFING 3 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB KRAJICEK DO (MEMBER)
(918) 576-3150
Entity
Organization

Contact information

Practice address
6006 SE ADAMS BLVD, BARTLESVILLE, OK 74006-8960
(918) 331-0550
Mailing address
20 E 5TH ST STE 620, TULSA, OK 74103-4441
(918) 576-3150

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208M00000X
Hospitalist Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/11/2022
Last updated
04/28/2022
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