Organization
GREEN COUNTRY PREVENTATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VALENTINE MD (PHYSICIAN OWNER)
(918) 704-0134
Entity
Organization
Contact information
Practice address
3202 S MEMORIAL DR STE 9, TULSA, OK 74145-1323
(918) 704-0134
Mailing address
3202 S MEMORIAL DR STE 9, TULSA, OK 74145-1323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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