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Individual

DR. BART NELS GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, PHD

Contact information

Practice address
10155 PACIFIC HEIGHTS BLVD, BUILDING AZ, 2ND FLOOR, SAN DIEGO, CA 92121
(858) 651-5918
(858) 622-1658
Mailing address
1507 E VALLEY PKWY, #3-486, ESCONDIDO, CA 92027-2322
(858) 208-8779

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC22689
CA

Other

Enumeration date
02/27/2006
Last updated
03/29/2016
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