Phil James Green, PAC

NPI #1083610752 in Blackwell, Oklahoma

Provider Information

NPI Number: 1083610752
Entity Type: Individual
Name: Phil James Green, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: PAC
Enumeration Date: Jun 27, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1009 W FERGUSON AVE
City: Blackwell
State: Oklahoma
ZIP Code: 74631-5602
Phone: (580) 363-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Blackwell Hmpn, LLC Part of Health Management Associates, Inc.	Family Medicine	Blackwell	AI Deep Dive
Blackwell Hmpn, LLC Part of Health Management Associates, Inc.	Family Medicine	Blackwell	AI Deep Dive

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