Individual
HENRY REX GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2710 DOLBEER ST, EUREKA, CA 95501
(707) 267-2060
(707) 267-2061
Mailing address
710 S LINCOLN RD, STE 400, ESCANABA, MI 49829-1293
(906) 233-9363
(906) 789-3103
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35087628
OH
207RH0003X
Hematology & Oncology Physician
Primary
G19771
CA
207RX0202X
Medical Oncology Physician
ME120037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019021800
—
FL
01
—
1336770
WELLCARE THRU KEYS PHA
FL
05
—
2648139
—
OH
01
—
4042485
AETNA
FL
01
—
P01745576
RR MEDICARE
FL
Enumeration date
06/09/2006
Last updated
02/13/2019
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