Individual
DAVID C GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
DP00129
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001487000
REGENCE BLUE CROSS
OR
05
—
1006360
—
WA
05
—
16851-8
—
OR
01
—
756480632
MEDICARE RAILROAD
OR
01
—
93075402-9722-A002
TRICARE
OR
Enumeration date
05/17/2006
Last updated
10/15/2014
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