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PHIL GREEN, PAC

PAC

Family Medicine Physician

NPI: 1083610752IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

PA800(OK)

Education

OTHER

Class of 1996

Contact & Hours

Address
1009 W FERGUSON AVE
BLACKWELL, OK 74631

Quick Facts

NPI
1083610752
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
30

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