Individual
DR. JOHN BRIAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7070
Mailing address
PO BOX 4869 DPT 235, HOUSTON, TX 77210-4869
(877) 744-1141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD203561
LA
208M00000X
Hospitalist Physician
MD203561
LA
282N00000X
General Acute Care Hospital
MD203561
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091596
—
LA
Enumeration date
06/18/2008
Last updated
10/26/2011
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