CHARLES R GREEN

ANDOVER, KS
NPI1568499267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  30255)
Enumeration Date2006-06-27
Last Update Date2016-03-31
Business Address
-- CHARLES R GREEN MD
612 N ANDOVER RD
ANDOVER, KS 67002-9778
Phone number: 316-733-6618
Mailing Address
-- CHARLES R GREEN MD
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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