James Douglas Green, DO

NPI #1841273083 in Peru, Indiana

Provider Information

NPI Number: 1841273083
Entity Type: Individual
Name: James Douglas Green, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Nov 22, 2005
Last Updated: Sep 8, 2021

Practice Location

Address: 750 N BROADWAY
City: Peru
State: Indiana
ZIP Code: 46970-1027
Phone: (765) 472-8907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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