Individual
BARRY JAMES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
937 FRANKLIN AVE, LEMOORE, CA 93246-0001
(559) 998-2657
Mailing address
1306 S PLEASANT ST, SPRINGDALE, AR 72764-6223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
18043
CA
363A00000X
Physician Assistant
Primary
481
AR
Other
Enumeration date
01/24/2006
Last updated
04/25/2014
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