Charles R Green, MD

NPI #1568499267 in Andover, Kansas

Provider Information

NPI Number: 1568499267
Entity Type: Individual
Name: Charles R Green, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 27, 2006
Last Updated: Mar 31, 2016

Practice Location

Address: 612 N ANDOVER RD
City: Andover
State: Kansas
ZIP Code: 67002-9778
Phone: (316) 733-6618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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