Individual
MR. DAVID E GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3011 EAST BARNETTE RD, MEDFORD, OR 97504-8332
(541) 789-4673
(541) 789-5678
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-4111
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01120
OR
Other
Enumeration date
06/07/2006
Last updated
04/19/2023
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