Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMANDA RUTH GORDEN GREEN, D.O.
ActiveDR. AMANDA RUTH GORDEN GREEN, D.O. is a Family Medicine healthcare provider located in OCHELATA, Oklahoma. NPI 1740514306 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OCHELATA, OK
Registration Details
- NPI Number
- 1740514306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2009 (16.890359085944 yrs)
- Last Updated
- May 4, 2022
- License
-
4906 (OK)
Practice Information
- Address
-
395200 W 2900 RDOCHELATA, OK, 740512463Browse OK providers · Browse ZIP 74051
- Phone
- 9185356000
- Fax
- 9185352694
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in OCHELATA, OK
| Name | Credential | NPI |
|---|---|---|
| GREGORY S. BROOKS | DO | 1053430512 |
| DR. AMANDA BIGHORSE | D.O. | 1619243888 |
| STEPHEN SHANNON | MD | 1780267625 |
| BRANDON HART | — | 1255915161 |
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.