Individual
DR. DOUGLAS ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A100113
CA
2085R0202X
Diagnostic Radiology Physician
16698C
WY
2085R0202X
Diagnostic Radiology Physician
Primary
3992-320
WI
2085R0202X
Diagnostic Radiology Physician
A100113
CA
2085R0202X
Diagnostic Radiology Physician
MC-207
GU
2085R0202X
Diagnostic Radiology Physician
MD-52680
IA
208D00000X
General Practice Physician
A100113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1001130
BS OF CA
CA
05
—
1164635173
—
CA
Enumeration date
05/07/2007
Last updated
11/21/2025
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