Individual
FREDERICK CHAPMAN GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8802 N 61ST AVE, GLENDALE, AZ 85302-4521
(623) 934-1991
(480) 733-3031
Mailing address
2101 E REDFIELD RD, PHOENIX, AZ 85022-4660
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19095
AZ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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