Individual
BRADLEY ALAN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 ALPINE RD, SUITE 195, PORTOLA VALLEY, CA 94028-7549
(650) 851-0155
(650) 529-0929
Mailing address
3130 ALPINE RD, SUITE 195, PORTOLA VALLEY, CA 94028-7549
(650) 851-0155
(650) 529-0929
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A74002
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2013
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