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Individual

RICHARD GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1555 SHAW AVE STE 101, CLOVIS, CA 93611-4096
(559) 324-7001
Mailing address
1555 SHAW AVE STE 101, CLOVIS, CA 93611-4096
(559) 324-7001

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53321
CA

Other

Enumeration date
04/21/2016
Last updated
04/11/2023
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