GREEN COUNTRY INFECTIOUS DISEASE PC

BROKEN ARROW, OK
NPI1639639321
Entity TypeOrganization
Authorized ContactJANICE L BRACKEN
Credentialing
918-448-6160
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine Infectious Disease
Enumeration Date2019-03-20
Last Update Date2019-04-03
Business Address
GREEN COUNTRY INFECTIOUS DISEASE PC
421 STONE WOOD DR
BROKEN ARROW, OK 74012-1026
Phone number: 918-872-8822
Mailing Address
GREEN COUNTRY INFECTIOUS DISEASE PC
5908 S 298TH EAST AVE
BROKEN ARROW, OK 74014-8405
Phone number: 918-872-8822
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