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Organization
GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
Active
Organization
GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIKANTH K REDDY MD (PRESEDENT)
(918) 459-9500
Entity
Organization
Contact information
Practice address
8803 S 101ST EAST AVE, SUITE#290, TULSA, OK 74133-5726
(918) 459-9500
(918) 459-0995
Mailing address
8803 S 101ST EAST AVE, SUITE#290, TULSA, OK 74133-5726
(918) 459-9500
(918) 459-0995
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20733
OK
Other
Enumeration date
05/07/2007
Last updated
11/06/2007
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