W Michael Green, Md Inc

NPI 1063662310 - Pathology - 207ZP0102X

NPI Details
NPI 1063662310
Enumeration Date 09/23/2008
Last Updated 09/23/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM MICHAEL WILLIAM
Position PRESIDENT
Phone (805) 389-5878
Fax (805) 389-5883
Practice Location
2309 ANTONIO AVE
PATHOLOGY DEPARTMENT
CAMARILLO CA, 93010-1414, US
Phone (805) 389-5878
Fax (805) 389-5883
Business Location
PO BOX 986
CAMARILLO CA, 93011-0986, US
Phone (805) 482-6233
Fax (805) 389-5883
Toxanomy
Taxonomy Code 207ZP0102X
License State
License Number
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According to our database, W Michael Green, Md Inc NPI is 1063662310, taxonomy code is 207ZP0102X W Michael Green, Md Inc physically located at 2309 Antonio Ave, Camarillo CA, 93010-1414. NPI Number 1033115704 has the healthcare provider type.

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1063662310 NPI number is provided on an as is basis without warranty of any kind. 1063662310 is maintained by the National Plan & Provider Enumeration System. The contents of W Michael Green, Md Inc are for informational purposes only.