Green Country Emergency Physicians Group of Tulsa Pllc

NPI #1972698553 in Tulsa, Oklahoma

Provider Information

NPI Number: 1972698553
Entity Type: Organization
Organization Name: Green Country Emergency Physicians Group of Tulsa Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 3, 2006
Last Updated: Jun 1, 2018

Practice Location

Address: 1120 S UTICA AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74104
Phone: (918) 579-1000

Authorized Official

Name: JEFFREY D DIXON, MD
Title: MANAGING MEMBER
Phone: (918) 728-3354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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