Individual
DR. BRAD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 W 82ND ST APT 1, NEW YORK, NY 10024-5584
(571) 338-1966
Mailing address
6835 E CAMELBACK RD UNIT 5005, SCOTTSDALE, AZ 85251-3156
(571) 338-1966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.124189
OH
207P00000X
Emergency Medicine Physician
MD2020-0058
NM
Other
Enumeration date
06/27/2008
Last updated
01/31/2020
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