Individual
DR. JUSTIN LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1185 W COUNTY LINE RD, GREENWOOD, IN 46142-5156
(317) 884-0995
(317) 882-7882
Mailing address
386 LEISURE LN, GREENWOOD, IN 46142-8529
(317) 490-2648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002603A
IN
Other
Enumeration date
10/04/2011
Last updated
03/26/2013
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