JAMES DOUGLAS GREEN

PERU, IN
NPI1841273083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001778A)
Enumeration Date2005-11-22
Last Update Date2021-09-08
Business Address
JAMES DOUGLAS GREEN DO
750 N BROADWAY
PERU, IN 46970-1027
Phone number: 765-472-8907
Mailing Address
JAMES DOUGLAS GREEN DO
750 N BROADWAY
PERU, IN 46970-1027
Phone number: 765-472-8907
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