Dennis Crookedacre

NPI 1326283466 · on the registry since 2008

Practice

Address: 8937 S Garnett Rd
Broken Arrow, OK 74012
Phone: (918) 872-9777
Fax: (918) 872-9779
Organisation at this address: Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YP2500X
Licence states on file: MI, OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma