MRS. Michelle Green, PA-C

NPI #1043754641 in Tulsa, Oklahoma

Provider Information

NPI Number: 1043754641
Entity Type: Individual
Name: MRS. Michelle Green, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 15, 2016
Last Updated: Jul 18, 2022

Practice Location

Address: 9228 S MINGO RD STE 102
City: Tulsa
State: Oklahoma
ZIP Code: 74133-5721
Phone: (918) 592-0999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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