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Organization
WALTER S GREEN MD MEDICAL CORPORATION
Active
Organization
WALTER S GREEN MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S GREEN M.D. (MEDICAL DOCTOR)
(949) 496-6066
Entity
Organization
Contact information
Practice address
657 CAMINO DE LOS MARES STE 242, SAN CLEMENTE, CA 92673-2811
(949) 496-6066
Mailing address
657 CAMINO DE LOS MARES STE 242, SAN CLEMENTE, CA 92673-2811
(949) 496-6066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A09766
CA
Other
Enumeration date
06/06/2007
Last updated
01/10/2009
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