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Bryan Green, DPH

NPI 1598357030 · on the registry since 2021

Practice

Address
262 E 141st St
Glenpool, OK 74033
Phone
(918) 322-3667
Fax
(918) 322-5923
Organisation at this address
Glenpool Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma