Individual
CLARENCE S GREENE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEUROSURGERY DEPARTMENT, NEW ORLEANS, LA 70118-5720
(504) 896-9568
(504) 896-3966
Mailing address
200 HENRY CLAY AVE, NEUROSURGERY DEPARTMENT, NEW ORLEANS, LA 70118-5720
(504) 896-9568
(504) 896-3966
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.203792
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209327402
—
MO
Enumeration date
07/07/2006
Last updated
05/11/2021
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