Individual
DR. JUSTIN STUART GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
90 CIC BLVD, WEST UNION, OH 45693-8024
(937) 544-8989
(937) 544-5659
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2761382
—
OH
05
—
7100020960
—
KY
Enumeration date
06/06/2007
Last updated
12/22/2020
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