Organization
DAVID D. GREEN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D. GREEN OD (OWNER)
(724) 836-0802
Entity
Organization
Contact information
Practice address
6048 ROUTE 30, GREENSBURG, PA 15601-1279
(724) 836-0802
Mailing address
6048 ROUTE 30, GREENSBURG, PA 15601-1279
(724) 836-0802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000479
PA
Other
Enumeration date
09/03/2008
Last updated
09/10/2008
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