Seth Green

NPI 1053595371 - Psychologist - 103TC0700X

NPI Details
NPI 1053595371
Gender Male
Enumeration Date 12/21/2007
Last Updated 05/15/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
607 DIVISION STREET
NOME AK, 99762-0966, US
Phone (907) 443-3344
Fax
Business Location
PO BOX 966
NOME AK, 99762-0966, US
Phone (907) 443-3344
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Alaska
License Number 687
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According to our database, Dr. Seth Green NPI is 1053595371, taxonomy code is 103TC0700X and license number is 687, license state is located at Alaska. Seth Green physically located at 607 Division Street, Nome AK, 99762-0966. NPI Number Seth Green has the Individual type.

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1053595371 NPI number is provided on an as is basis without warranty of any kind. 1053595371 is maintained by the National Plan & Provider Enumeration System. The contents of Seth Green are for informational purposes only.