Organization
ROY GREENWAY JR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY GREENWAY JR. MD, FACS (SURGEON/OWNER)
(405) 204-5430
Entity
Organization
Contact information
Practice address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139-8123
(405) 601-5169
(405) 601-9095
Mailing address
922 E 3RD ST, ELK CITY, OK 73644-3606
(405) 204-5430
(580) 225-2518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196600A
—
OK
Enumeration date
09/01/2022
Last updated
09/01/2022
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