Provider Demographics
NPI:1184001133
Name:GREER, ADAM BENJAMIN (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:BENJAMIN
Last Name:GREER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8115 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4331
Mailing Address - Country:US
Mailing Address - Phone:918-542-6315
Mailing Address - Fax:918-403-6315
Practice Address - Street 1:8115 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4331
Practice Address - Country:US
Practice Address - Phone:918-254-6315
Practice Address - Fax:918-403-6315
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine