Ted Allen Green, M.D.

NPI #1831200476 in Eureka, Missouri

Provider Information

NPI Number: 1831200476
Entity Type: Individual
Name: Ted Allen Green, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 515 N VIRGINIA AVE
City: Eureka
State: Missouri
ZIP Code: 63025-1115
Phone: (636) 587-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Eureka Pediatrics	Pediatrics	Eureka	AI Deep Dive

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