Stephen R. Green M.D.

NPI 1780742528 - Internal Medicine - 207R00000X

NPI Details
NPI 1780742528
Gender Male
Enumeration Date 12/05/2006
Last Updated 09/22/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1401 EAST VAN BUREN AVENUE
MCALESTER OK, 74501, US
Phone (918) 426-0240
Fax (918) 423-4051
Business Location
6600 SOUTH YALE
SUITE 1400
TULSA OK, 74136, US
Phone (918) 488-6001
Fax (918) 488-6010
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 26043
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According to our database, Stephen R. Green M.D. NPI is 1780742528, taxonomy code is 207R00000X and license number is 26043, license state is located at Alabama. Stephen R. Green M.D. physically located at 1401 East Van Buren Avenue, Mcalester OK, 74501. NPI Number Stephen R. Green M.D. has the Individual type.

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1780742528 NPI number is provided on an as is basis without warranty of any kind. 1780742528 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen R. Green M.D. are for informational purposes only.