Individual
DONALD JOSEPH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13677 W MCDOWELL RD STE 201, GOODYEAR, AZ 85395-2635
(602) 996-4747
(602) 953-5466
Mailing address
9250 N 3RD ST STE 3015, PHOENIX, AZ 85020-2425
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C52258
CA
208600000X
Surgery Physician
DR.0061299
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37789
LICENSE
AZ
05
—
579138
—
AZ
01
—
C52258
MED LICENSE
CA
Enumeration date
07/26/2006
Last updated
01/19/2019
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