DERRICK RICHARD GREEN

CHARLESTON, WV
NPI1952644460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WV  26706)
Enumeration Date2013-04-03
Last Update Date2018-09-21
Business Address
Dr. DERRICK RICHARD GREEN M.D.
3200 MACCORKLE AVE SE DEPT OF PATHOLOGY
CHARLESTON, WV 25304-1297
Phone number: 304-388-5550
Mailing Address
Dr. DERRICK RICHARD GREEN M.D.
3200 MACCORKLE AVE SE DEPT OF PATHOLOGY
CHARLESTON, WV 25304-1297
Phone number: 304-388-5550