| Green Country Wound Care Of Muskogee Pc | |
|
8803 S 101st East Ave Tulsa OK 74133-5726 | |
| (918) 294-4325 | |
| (918) 294-4349 |
| Full Name | Green Country Wound Care Of Muskogee Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8803 S 101st East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ronald D Brown (OWNER) |
| Authorized Official Contact | 9182002369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Wound Care Of Muskogee Pc 20002 E Wilderness Trce Cookson OK 74427-2090 Ph: (918) 200-2369 | Green Country Wound Care Of Muskogee Pc 8803 S 101st East Ave Tulsa OK 74133-5726 Ph: (918) 294-4325 |
| NPI Number | 1356363238 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 8729081716 |
|---|---|
| Medicare Enrollment ID | O20060811000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356363238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23318 (Oklahoma) | Primary |
| Provider Name | Ronald D Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801846779 PECOS PAC ID: 8921001900 Enrollment ID: I20060811000188 |
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