Individual
JAMES WILLIAM GREENAWALT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14759
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100823380B
—
OK
05
—
1750385175
—
WA
Enumeration date
06/13/2005
Last updated
04/29/2022
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