Individual provider · Type 1 NPI

Phil James Green, PAC

Family Medicine Physician · Blackwell, OK

NPI number 1083610752 Active

Practice location

1009 W Ferguson Ave
Blackwell, OK 74631-5602

Fax (580) 363-0894

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XPA800 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1083610752

Phil James Green, PAC's National Provider Identifier is 1083610752, issued on Jun 27, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Blackwell, OK. The record was last updated on Jul 13, 2026.