Individual
MISS NATALIE LOREN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 528-8260
Mailing address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
(405) 528-8260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1800
OK
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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