Corey Nicole Green, PA-C

NPI #1255723110 in Mcloud, Oklahoma

Provider Information

NPI Number
1255723110
Entity Type
Individual
Name
Corey Nicole Green, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 2, 2015
Last Updated
Mar 2, 2015

Practice Location

Address
29501 KICKAPOO RD
City
Mcloud
ZIP Code
74851-8320
Phone
(405) 964-3020

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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