Individual
DR. BARBARA J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 105B, SAINT LOUIS, MO 63131-2322
(314) 996-7960
Mailing address
3009 N BALLAS RD STE 105B, SAINT LOUIS, MO 63131-2322
(314) 996-7960
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R1G29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20231900GR
—
MO
Enumeration date
06/30/2006
Last updated
02/19/2021
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