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Individual

DR. MARK DARREN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.M.D.

Contact information

Practice address
9359 W 75TH ST, BUILDING 6, OVERLAND PARK, KS 66204-4000
(913) 825-6111
(913) 825-6115
Mailing address
9359 W 75TH ST, BUILDING 6, OVERLAND PARK, KS 66204-4000
(913) 825-6111
(913) 825-6115

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
21-00017
KS

Other

Enumeration date
03/12/2007
Last updated
07/08/2007
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