Individual
SCOTT G GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 N 27TH ST, FORT DODGE, IA 50501-4331
(515) 955-4440
Mailing address
22 N 27TH ST, FORT DODGE, IA 50501-4331
(515) 955-4440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24935
IA
Other
Enumeration date
02/03/2006
Last updated
02/18/2015
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