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Individual

DR. RICHARD L GREENO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 MIAMI VALLEY DR, CENTERVILLE, OH 45459-1221
(937) 436-4658
Mailing address
20 PRESTIGE PLZ, SUITE 100, MIAMISBURG, OH 45342-5354
(937) 436-4658
(937) 436-4984

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35066921
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
35-066921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2530238
OH
01
4145201
MEDICARE PTAN
OH
01
4145202
MEDICARE PTAN
OH
Enumeration date
12/28/2005
Last updated
02/27/2020
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