Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 2970 | OK |
NPI | 1023054749 |
---|---|
Provider Name | Dr. E. Vann Greer |
First Address | Oklahoma City, OK 73120-6318 |
Second Address | Oklahoma City, OK 73120-6318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 09/07/2007 |