Organization
GARY HOWARD GREENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY HOWARD GREENE OD (DOCTOR)
(480) 296-4646
Entity
Organization
Contact information
Practice address
4201 N 16TH ST STE 160, PHOENIX, AZ 85016-5348
(602) 277-5007
Mailing address
2626 E VISTA DR, PHOENIX, AZ 85032-4939
(480) 296-4646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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