| NPI | 1780779470 |
|---|---|
| Former Legal Business Name | MARK A. GREEN, DPM, PC |
| Entity Type | Organization |
| Authorized Contact | MARK A GREEN President 816-943-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 000639) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-24 |