Individual
TODD RICHARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2351 CANARY CT, ANCHORAGE, AK 99515-1402
(907) 243-4677
(907) 243-4676
Mailing address
8543 GOLDEN ST, ANCHORAGE, AK 99502-5241
(907) 347-9686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6299
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD5636
—
AK
Enumeration date
04/24/2007
Last updated
12/12/2016
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