Provider Demographics
NPI:1447318308
Name:CRUMLEY, MARGARET RUTH (M D)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:RUTH
Last Name:CRUMLEY
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:CRUMLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M D
Mailing Address - Street 1:PO BOX 471802
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74147-1802
Mailing Address - Country:US
Mailing Address - Phone:918-664-2292
Mailing Address - Fax:918-664-2292
Practice Address - Street 1:9117 E 38TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-3433
Practice Address - Country:US
Practice Address - Phone:918-664-2292
Practice Address - Fax:918-664-2292
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17992207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine