Individual
WILLIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Mailing address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10052630
TX
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0202X
OK
Other
Enumeration date
04/20/2015
Last updated
06/17/2016
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