Green Country Emergency Physicians Group of Owasso Pllc

NPI #1720165830 in Owasso, Oklahoma

Provider Information

NPI Number: 1720165830
Entity Type: Organization
Organization Name: Green Country Emergency Physicians Group of Owasso Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 1, 2006
Last Updated: Mar 12, 2010

Practice Location

Address: 10502 N 110TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-6655
Phone: (918) 376-8000

Authorized Official

Name: JESSICA WARLICK
Title: CREDENTIALING COORDINATOR
Phone: (918) 664-9892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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