| Green Country Preventative Medicine, Llc | |
|
3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 | |
| (918) 704-0134 | |
| Not Available |
| Full Name | Green Country Preventative Medicine, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3202 S Memorial Dr Ste 9, Tulsa, Oklahoma |
| Authorized Official Name and Position | Robert Valentine (PHYSICIAN OWNER) |
| Authorized Official Contact | 9187040134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Preventative Medicine, Llc 3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 Ph: () - | Green Country Preventative Medicine, Llc 3202 S Memorial Dr Ste 9 Tulsa OK 74145-1323 Ph: (918) 704-0134 |
| NPI Number | 1710638820 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710638820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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