Individual
DR. BRANDON MICHAEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1725 S NEWPORT AVE, TULSA, OK 74120-6837
(617) 446-3201
Mailing address
1725 S NEWPORT AVE, TULSA, OK 74120-6837
(617) 446-3201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7249
OK
Other
Enumeration date
06/11/2009
Last updated
11/11/2024
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