Individual
SAMUEL E. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 N TENAYA WAY STE 460, LAS VEGAS, NV 89128-0463
(702) 233-1000
(702) 233-1001
Mailing address
3201 S MARYLAND PKWY STE 400, LAS VEGAS, NV 89109-2426
(702) 796-7150
(702) 796-9071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019596
—
NV
Enumeration date
05/23/2005
Last updated
05/15/2024
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