| NPI | 1134555113 |
|---|---|
| Doing Business As | GREEN TREE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CINDY WALTEMIRE Provider Enrollment Specialist 412-330-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-11-06 |