Charles Gary Green, MD

NPI #1073698189 in Susanville, California

Provider Information

NPI Number: 1073698189
Entity Type: Individual
Name: Charles Gary Green, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology - Body Imaging
Credential: MD
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 60 HALL STREET
City: Susanville
State: California
ZIP Code: 96130
Phone: (530) 257-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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