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1912040619
MATTHEW PRESTON GREEN
SPRINGFIELD, MO
NPI
1912040619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2006018697)
Enumeration Date
2007-02-14
Last Update Date
2019-07-15
Business Address
MATTHEW PRESTON GREEN DO
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807-5210
Phone number: 417-269-7728
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Mailing Address
MATTHEW PRESTON GREEN DO
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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