Individual
THOMAS M GREEN
Active
Individual
THOMAS M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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