GREEN COUNTRY HEALTHCARE FOR WOMEN NPI 1497974984

NPI Information

GREEN COUNTRY HEALTHCARE FOR WOMEN is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GREEN COUNTRY HEALTHCARE FOR WOMEN NPI is 1497974984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1145 S UTICA AVE
500
TULSA, OK
ZIP 74104-000
Phone: (918) 382-5399
Fax: (918) 382-5704

The provider's authorized official is Conchita Lusalyer Woodruff .
The authorized official title is Owner and has the following contact phone number (918) 382-5399.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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