Green Medical Clinic Valid NPI
Organization · Family Medicine Physician · Cookson, OK
- NPI
- 1801086715
- Type
- Organization (Type 2)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 9260 (OK)
- Enumerated
- 2007-07-26
- Last updated
- 2012-11-01
Practice location
23507 East Riverview Drive
Cookson, OK 74427
(918) 456-8989