Individual
DR. JOHN A GREEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 JUEGO CT, SANTA FE, NM 87508
(503) 722-4270
(503) 722-4450
Mailing address
3 JUEGO CT, SANTA FE, NM 87508
(503) 722-4270
(503) 722-4450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD12292
OR
Other
Enumeration date
01/15/2007
Last updated
11/26/2024
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