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Individual

DR. EMILY ANN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 BODIN CIRCLE, 60 MDG/SGQH, TRAVIS AFB, CA 94535-1800
(707) 861-5686
Mailing address
3936 19TH ST, SAN FRANCISCO, CA 94114-2522
(312) 315-1816

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A114053
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2005015819
MO

Other

Enumeration date
10/04/2006
Last updated
04/10/2025
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