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Organization

SOUTHWEST GENERAL SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROY M GREENWAY JR. MD (SOLE MEMBER)
(405) 605-4265
Entity
Organization

Contact information

Practice address
401 SW 80TH ST, SUITE 101, OKLAHOMA CITY, OK 73139-8122
(405) 605-4265
(405) 605-4268
Mailing address
401 SW 80TH ST, SUITE 101, OKLAHOMA CITY, OK 73139-8122
(405) 605-4265
(405) 605-4268

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OK

Other

Enumeration date
10/16/2012
Last updated
10/07/2015
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