Individual
MR. MATTHEW REED GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2546 E 2ND ST., #400, CASPER, WY 82609
(307) 234-0003
Mailing address
2546 E 2ND ST., #400, CASPER, WY 82609
(307) 234-0003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8877A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2009
Last updated
07/26/2013
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