Individual
DR. GEORGE ELLIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9460 N NAME UNO, #110, GILROY, CA 95020-3537
(408) 842-4466
(408) 848-1355
Mailing address
9460 N NAME UNO, #110, GILROY, CA 95020-3537
(408) 842-4466
(408) 848-1355
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G454410
CA
Other
Enumeration date
11/01/2006
Last updated
11/11/2010
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