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Individual

EMERY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 864-3391
Mailing address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 864-3391

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-441
AR
363A00000X
Physician Assistant
PA.200434
LA

Other

Enumeration date
04/07/2011
Last updated
04/03/2015
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