Individual
JANET H GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501-4245
(918) 426-0240
(918) 423-4051
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26686
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965865
—
AL
Enumeration date
12/05/2006
Last updated
09/17/2015
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