Organization
PHILLIP S. GREENE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP S. GREENE M.D. (OWNER)
(614) 868-5131
Entity
Organization
Contact information
Practice address
1418 BRICE RD, REYNOLDSBURG, OH 43068-2397
(614) 868-5131
Mailing address
1418 BRICE RD, REYNOLDSBURG, OH 43068-2397
(614) 868-5131
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-04-3686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419201
—
OH
Enumeration date
09/12/2006
Last updated
08/22/2020
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