Sean E Green, PA-C

NPI #1679585517 in Canyon, Texas

Provider Information

NPI Number: 1679585517
Entity Type: Individual
Name: Sean E Green, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 12, 2006
Last Updated: Aug 22, 2024

Practice Location

Address: 911 23RD ST
City: Canyon
State: Texas
ZIP Code: 79015-4600
Phone: (806) 655-2104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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