Individual
DR. ALLEN GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 REDWOOD HWY FRONTAGE RD STE 370, MILL VALLEY, CA 94941-3057
(415) 928-1352
Mailing address
655 REDWOOD HWY FRONTAGE RD STE 370, MILL VALLEY, CA 94941-3057
(415) 928-1352
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
FG3002514
OH
208D00000X
General Practice Physician
Primary
A204398
CA
208D00000X
General Practice Physician
U4809
TX
Other
Enumeration date
04/01/2020
Last updated
08/07/2026
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