Individual
DR. RYAN MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
20A15602
CA
Other
Enumeration date
04/06/2015
Last updated
11/06/2019
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