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Individual

DR. GARRY REID GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
(360) 373-7616

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020694
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016487001
GROUP HEALTH COOP
WA
01
0204577
WA DEPT OF LABOR AND IND
WA
01
7215GA
REGENCE BLUE SHEILD
WA
05
8443798
WA
01
910847215
UNIFORM MEDICAL
WA
Enumeration date
02/23/2006
Last updated
01/21/2009
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