Individual
DR. RICHARD DEWAR GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 E 3RD ST, #102, CASPER, WY 82601-3237
(330) 757-7428
Mailing address
940 E 3RD ST, #102, CASPER, WY 82601-3237
(330) 757-7428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2373A
WY
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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