NPI 1003928532

Russell John Green, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Owasso, OK

Practice location

Address: 8751 N 117th East Ave Unit H, Owasso, OK 74055-2098
Phone: (918) 609-1600
Fax: (918) 609-1319

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 17587 (OK)

Other Preventive Medicine providers in Oklahoma →

Registry record

NPI: 1003928532
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 13 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.