| NPI | 1265658322 |
|---|---|
| Doing Business As | GREEN COUNTRY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHERYL NEELY RN 918-273-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-10-30 |