Organization
GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF OWASSO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WARLICK (CREDENTIALING COORDINATOR)
(918) 664-9892
Entity
Organization
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 376-8000
(918) 664-2521
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100660A
—
OK
Enumeration date
11/01/2006
Last updated
03/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us