Organization
RICHARD D. GREEN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DEWAR GREEN M.D. (OWNER)
(307) 577-4280
Entity
Organization
Contact information
Practice address
940 E 3RD ST STE 102, CASPER, WY 82601-3200
(307) 577-4280
(307) 577-4283
Mailing address
940 E 3RD ST STE 102, CASPER, WY 82601-3200
(307) 577-4280
(307) 577-4283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2373A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106467300
—
WY
Enumeration date
07/02/2015
Last updated
07/02/2015
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