AUSTIN REID GREEN

INDIANAPOLIS, IN
NPI1912402801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZD0900X Pathology, Dermatopathology
(Licence: IN  01093181A)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN  01093181A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-24
Last Update Date2024-06-03
Business Address
AUSTIN REID GREEN M.D.
635 BARNHILL DR BLDG A-128
INDIANAPOLIS, IN 46202-5126
Phone number: 317-274-4806
Mailing Address
AUSTIN REID GREEN M.D.
208 EDITH BLVD SE
ALBUQUERQUE, NM 87102-3581
Phone number: 574-309-1023