Individual
GRAHAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(614) 949-9446
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(614) 949-9446
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
0102209476
VA
Other
Enumeration date
02/26/2024
Last updated
02/23/2026
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