Individual
DR. MATTHEW STUART GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6232 LA SALLE AVE, OAKLAND, CA 94611-2804
(510) 200-9000
(510) 788-4034
Mailing address
6232 LA SALLE AVE, OAKLAND, CA 94611-2804
(510) 200-9000
(510) 788-4034
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC28669
CA
Other
Enumeration date
06/04/2007
Last updated
07/22/2013
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