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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHIL JAMES GREEN, PAC

Active

PHIL JAMES GREEN, PAC is a Family Medicine healthcare provider located in BLACKWELL, Oklahoma. NPI 1083610752 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BLACKWELL, OK

Registration Details

NPI Number
1083610752
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2005 (21.090564124969 yrs)
Last Updated
Jul 8, 2007
License
PA800 (OK)

Practice Information

Address
1009 W FERGUSON AVE
BLACKWELL, OK, 746315602
Browse OK providers · Browse ZIP 74631
Phone
5803630052
Fax
5803630894
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BLACKWELL, OK

Name Credential NPI
JEFFREY ROBERT SHUART M.D. 1114923489
SAMUEL LYLE HAGUE MD 1528064763
PAUL A. BRIGGS M.D. 1528064805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.