Individual provider · Type 1 NPI

Mary Carolyn Greenough, MD

Student in an Organized Health Care Education/Training Program · Oklahoma City, OK

NPI number 1376162628 Active

Practice location

3300 NW Expwy
Oklahoma City, OK 73112-4418

Call (405) 949-3011 Map

Mailing address

4502 E 41st St
Tulsa, OK 74135-2536

Other practice locations

  • 4502 E 41st St, Tulsa, OK 74135-2536 · (918) 361-1354

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X41457 (OK)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376162628

Mary Carolyn Greenough, MD's National Provider Identifier is 1376162628, issued on Apr 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 15, 2024.