Individual
ROY MACK GREENWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139-8123
(405) 601-5169
(405) 601-9095
Mailing address
PO BOX 2339, ELK CITY, OK 73648-2339
(580) 225-2517
(580) 225-3167
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
23986
OK
208600000X
Surgery Physician
Primary
23986
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200196600A
—
OK
Enumeration date
02/07/2007
Last updated
11/11/2022
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