Green Country Medical, Inc

NPI 1083837439 - Family Medicine - 207Q00000X

NPI Details
NPI 1083837439
Enumeration Date 04/11/2007
Last Updated 07/10/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LACEE LACEE
Position RN
Phone (918) 255-6000
Fax
Practice Location
228 WILLOW
SOUTH COFFEYVILLE OK, 74072, US
Phone (918) 255-6000
Fax
Business Location
712 E OSAGE AVE
NOWATA OK, 74048-3638, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Green Country Medical, Inc NPI is 1083837439, taxonomy code is 207Q00000X Green Country Medical, Inc physically located at 228 Willow, South Coffeyville OK, 74072. NPI Number 1033115704 has the healthcare provider type.

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1083837439 NPI number is provided on an as is basis without warranty of any kind. 1083837439 is maintained by the National Plan & Provider Enumeration System. The contents of Green Country Medical, Inc are for informational purposes only.