Individual
MR. DAVID STEVEN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Mailing address
10987 CATTAIL PT, SHREVEPORT, LA 71106-9367
(318) 797-8777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023098
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494429
—
LA
Enumeration date
03/09/2006
Last updated
03/13/2012
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