Organization
MICHAEL E GREEN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E GREEN O.D. (OWNER)
(308) 632-2039
Entity
Organization
Contact information
Practice address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-2039
Mailing address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-2039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
09/03/2008
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