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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