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Organization
RICHARD D. GREEN, MD, PC
Active
Organization
RICHARD D. GREEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DEWAR GREEN M.D. (OWNER)
(307) 577-4280
Entity
Organization
Contact information
Practice address
940 E 3RD ST STE 102, CASPER, WY 82601-3200
(307) 577-4280
(307) 577-4283
Mailing address
940 E 3RD ST STE 102, CASPER, WY 82601-3200
(307) 577-4280
(307) 577-4283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2373A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106467300
—
WY
Enumeration date
07/02/2015
Last updated
07/02/2015
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