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Individual

DANIEL E GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(707) 426-3911
(707) 434-2043
Mailing address
PO BOX 255668, SACRAMENTO, CA 95865-5668
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G36444
CA
208M00000X
Hospitalist Physician
G36444
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G364440
CA
Enumeration date
10/06/2006
Last updated
09/11/2025
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