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Contact Information

GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC
1120 S UTICA AVE
TULSA, OK74104
 Phone: 918-579-1000
 Fax: 918-664-2521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC · (Female)

NPI Number 1972698553
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 06/01/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200094670A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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