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Individual

DAVID GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
26932 OSO PKWY, SUITE 260, MISSION VIEJO, CA 92691-5815
(949) 582-8800
(949) 582-5127
Mailing address
26932 OSO PKWY, SUITE 260, MISSION VIEJO, CA 92691-5815
(949) 582-8800
(949) 582-5127

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PT9145
CA

Other

Enumeration date
07/13/2006
Last updated
07/08/2007
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