Individual
ROBERT M GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 G ST, EUREKA, CA 95501-1020
(707) 444-3439
(707) 444-3459
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-0473
(530) 229-3703
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G73342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G733420
—
CA
Enumeration date
10/19/2005
Last updated
11/02/2021
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