Individual
MRS. MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9228 S MINGO RD STE 102, TULSA, OK 74133-5721
(918) 592-0999
(918) 595-0208
Mailing address
9228 S MINGO RD STE 102, TULSA, OK 74133-5721
(918) 592-0999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
07/18/2022
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