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Individual

DR. HUNTER S GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6403 COYLE AVE, SUITE 170, CARMICHAEL, CA 95608-0311
(916) 965-4000
(916) 965-4813
Mailing address
6403 COYLE AVE, SUITE 170, CARMICHAEL, CA 95608-0311
(916) 965-4000
(916) 965-4813

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A84651
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4292600001
DME SUPPLIER NUMBER
CA
Enumeration date
08/10/2005
Last updated
01/22/2013
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