Randy A Green DSCPT

NPI 1003886011 - Physical Therapist - 225100000X

NPI Details
NPI 1003886011
Gender Male
Enumeration Date 01/23/2006
Last Updated 11/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4175 S ALAMO AVE
355 MDG/SGSO
DAVIS MONTHAN A F B AZ, 85707-6097, US
Phone (520) 228-2886
Fax (520) 228-8155
Business Location
4389 N OCOTILLO CANYON DR
TUCSON AZ, 85750-6909, US
Phone (520) 760-0683
Fax
Toxanomy
Taxonomy Code 225100000X
License State Texas
License Number 1081230
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According to our database, Dr. Randy A Green DSCPT NPI is 1003886011, taxonomy code is 225100000X and license number is 1081230, license state is located at Texas. Randy A Green DSCPT physically located at 4175 S Alamo Ave, Davis Monthan A F B AZ, 85707-6097. NPI Number Randy A Green DSCPT has the Individual type.

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1003886011 NPI number is provided on an as is basis without warranty of any kind. 1003886011 is maintained by the National Plan & Provider Enumeration System. The contents of Randy A Green DSCPT are for informational purposes only.