Individual
WILLIAM FREDERICK GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 STANFORD DR NE, ALBUQUERQUE, NM 87106-3727
(505) 255-1108
Mailing address
2211 LOMAS BLVD NE, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-56
NM
208000000X
Pediatrics Physician
81-56
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S5672
—
NM
Enumeration date
08/01/2006
Last updated
09/11/2025
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