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Contact Information

GREEN COUNTRY PAIN MANAGEMENT
6048-A S SHERIDAN RD
TULSA, OK74145
 Phone: 918-935-3240
 Fax: 918-935-3241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREEN COUNTRY PAIN MANAGEMENT · (Female)

NPI # 1740722115
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2016
Last updated 11/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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