Organization
KERRY S GREEN MD PLC
Active
Organization
KERRY S GREEN MD PLC
Active
Other names
Skyline Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY GREEN MD (OWNER)
(480) 924-4422
Entity
Organization
Contact information
Practice address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
Mailing address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
29662
AZ
Other
Enumeration date
11/30/2007
Last updated
03/08/2012
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