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Organization
GREEN SPORTS MEDICINE INC
Active
Organization
GREEN SPORTS MEDICINE INC
Active
Other names
Green Sports Medicine, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK GREEN MD (MD)
(559) 813-3005
Entity
Organization
Contact information
Practice address
2021 HERNDON AVE STE 201, CLOVIS, CA 93611-6101
(559) 981-5566
(559) 228-9989
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 981-5566
(559) 228-9989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
10/03/2018
Last updated
09/23/2026
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