Individual
DAVID LEE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 PIONEER LN STE C, BISHOP, CA 93514-2517
(760) 873-8982
(760) 873-3198
Mailing address
153 PIONEER LN STE C, BISHOP, CA 93514-2517
(760) 873-8982
(760) 873-3198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C402070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002085966
NEVADA MEDICAID
NV
05
—
00C402070
—
NV
Enumeration date
08/02/2006
Last updated
04/08/2009
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