Individual
DR. SALINA DIANE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD, STE. 405, SAINT LOUIS, MO 63128-2197
(314) 525-4880
(314) 525-4881
Mailing address
10012 KENNERLY RD STE 405, SAINT LOUIS, MO 63128-2197
(314) 525-4880
(314) 525-4881
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2006025638
MO
Other
Enumeration date
03/28/2007
Last updated
12/03/2018
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