Green Country Healthcare For Women

NPI 1497974984 - Specialist - 174400000X

NPI Details
NPI 1497974984
Enumeration Date 04/24/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CONCHITA LUSALYER CONCHITA
Position OWNER
Phone (918) 382-5399
Fax (918) 382-5704
Practice Location
1145 S UTICA AVE
500
TULSA OK, 74104-4000, US
Phone (918) 382-5399
Fax (918) 382-5704
Business Location
1145 S UTICA AVE
500
TULSA OK, 74104-4000, US
Phone (918) 382-5399
Fax (918) 382-5704
Toxanomy
Taxonomy Code 174400000X
License State Oklahoma
License Number 23123
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According to our database, Green Country Healthcare For Women NPI is 1497974984, taxonomy code is 174400000X and license number is 23123, license state is located at Oklahoma. Green Country Healthcare For Women physically located at 1145 S Utica Ave, Tulsa OK, 74104-4000. NPI Number 1033115704 has the healthcare provider type.

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1497974984 NPI number is provided on an as is basis without warranty of any kind. 1497974984 is maintained by the National Plan & Provider Enumeration System. The contents of Green Country Healthcare For Women are for informational purposes only.