Individual
DR. KERRY SCOTT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
(480) 924-8822
Mailing address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
(480) 924-8822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29662
AZ
Other
Enumeration date
06/06/2006
Last updated
10/25/2011
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