Charles Gary Green MD

NPI 1073698189 - Radiology - 2085B0100X

NPI Details
NPI 1073698189
Gender Male
Enumeration Date 10/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
60 HALL STREET
SUSANVILLE CA, 96130, US
Phone (530) 257-6010
Fax (530) 257-6038
Business Location
60 HALL STREET
SUSANVILLE CA, 96130, US
Phone (530) 257-6010
Fax (530) 257-6038
Toxanomy
Taxonomy Code 2085B0100X
License State California
License Number G46958
Remove 1073698189 NPI Number
 

According to our database, Charles Gary Green MD NPI is 1073698189, taxonomy code is 2085B0100X and license number is G46958, license state is located at California. Charles Gary Green MD physically located at 60 Hall Street, Susanville CA, 96130. NPI Number Charles Gary Green MD has the Individual type.

Sponsored links

1073698189 NPI number is provided on an as is basis without warranty of any kind. 1073698189 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Gary Green MD are for informational purposes only.