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Individual
DR. MARK ALAN GREEN
Active
Individual
DR. MARK ALAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000639
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
12000254
KS
Other
Enumeration date
06/01/2006
Last updated
04/24/2024
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