Individual
SPENCER M GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1707 MCHENRY AVE STE B, MODESTO, CA 95350-4352
(209) 529-7221
Mailing address
1707 MCHENRY AVE STE B, MODESTO, CA 95350-4352
(209) 529-7221
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
07/31/2012
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