IndividualActive
Russell Green, MD
NPI 1003928532 · Preventive Medicine/Occupational Environmental Medicine Physician · Owasso, OK
Provider details
- NPI number
- 1003928532
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17587 (OK)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 17587 (OK)
Allopathic & Osteopathic Physicians
Practice location
8751 N 117th East Ave
Unit H
Owasso, OK 74055-2098
Phone: (918) 609-1600
Fax: (918) 609-1319
Approximate (ZIP-level) locationGet directions
Mailing address
8751 N 117th East Ave
Owasso, OK 74055-2098
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2009-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.