Individual
HOWARD GILBERT GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-4584
(573) 754-5280
Mailing address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-4584
(573) 754-5280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203715529
—
MO
01
—
CK7206
MEDICARE RAILROAD PIN
—
Enumeration date
08/17/2006
Last updated
05/21/2008
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