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Individual

THOMAS M GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00011360
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039594
LABOR & INDUSTRY
WA
01
200018281
RAILROAD MEDICARE
01
806254100
IDAHO MEDICAID
WA
05
8263303
WA
01
G530
BLUE SHIELD
WA
01
MD8068W
ALASKA MEDICAID
WA
01
US0861553
AETNA/USHC SPECIALIST
WA
Enumeration date
07/25/2006
Last updated
07/26/2010
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