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Individual

DR. MARK ALAN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1010 CARONDELET DR, SUITE 301, KANSAS CITY, MO 64114-4859
(816) 943-1111
Mailing address
1010 CARONDELET DR, SUITE 301, KANSAS CITY, MO 64114-4859
(816) 943-1111

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000639
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
12000254
KS

Other

Enumeration date
06/01/2006
Last updated
04/24/2024
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