Individual
DOUGLAS WILLIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 549-3141
(707) 546-7351
Mailing address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 549-3141
(707) 546-7351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A90305
CA
2086S0129X
Vascular Surgery Physician
A90305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A903050
—
CA
Enumeration date
10/03/2006
Last updated
12/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us