Individual
DR. BURDGE F GREEN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WERNER, HOT SPRINGS, AR 71913-6406
(501) 622-1043
(501) 622-1199
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(870) 904-2807
(501) 321-4057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-7904
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2011
Last updated
01/24/2014
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