Organization
RADIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN JOHN GREEN MD (PRESIDENT)
(318) 325-3838
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 325-3838
(318) 325-3851
Mailing address
105B MCMILLAN RD, WEST MONROE, LA 71291-5319
(318) 325-3838
(318) 325-3851
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109878
—
LA
01
—
CU0219
RAILROAD MEDICARE
LA
Enumeration date
06/22/2006
Last updated
02/16/2010
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