MICHAEL DOUGLAS GREEN

SAN PEDRO, CA
NPI1922030576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13335)
Enumeration Date2006-07-06
Last Update Date2008-06-25
Business Address
-- MICHAEL DOUGLAS GREEN P.A.
1300 W 7TH ST
SAN PEDRO, CA 90732-3505
Phone number: 310-514-5350
Mailing Address
-- MICHAEL DOUGLAS GREEN P.A.
PO BOX 661360
ARCADIA, CA 91066-1360
Phone number: 626-447-0296
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