Individual
MR. ROBERT GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3501 NW 63RD ST, SUITE 500, OKLAHOMA CITY, OK 73116-2237
(405) 842-4022
(405) 842-4024
Mailing address
3501 NW 63RD ST, SUITE 500, OKLAHOMA CITY, OK 73116-2237
(405) 842-4022
(405) 842-4024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA1526
OK
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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