# DR. ALLEN GREEN JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043848260
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | FG3002514 | OH | — |
| 208D00000X | General Practice Physician | A204398 | CA | Yes |
| 208D00000X | General Practice Physician | U4809 | TX | — |

## Other

- **Enumeration date:** 04/01/2020
- **Last updated:** 08/07/2026