Richard D. Green, Md, PC

NPI #1508249947 in Casper, Wyoming

Provider Information

NPI Number: 1508249947
Entity Type: Organization
Organization Name: Richard D. Green, Md, PC
Primary Specialty: Pediatrics
Enumeration Date: Jul 2, 2015
Last Updated: Jul 2, 2015

Practice Location

Address: 940 E 3RD ST STE 102
City: Casper
State: Wyoming
ZIP Code: 82601-3200
Phone: (307) 577-4280

Authorized Official

Name: DR. RICHARD DEWAR GREEN, M.D.
Title: OWNER
Phone: (307) 577-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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