person
Chade B Green, PA-C
Surgical Physician Assistant in Lovington, New Mexico
NPI 1093130783

Chade B Green is a Surgical Physician Assistant based in Lovington, NM and is specialized in Surgical. Chade B Green practices in Lovington, NM and has the professional credentials of PA-C. The NPI Number for Chade B Green is 1093130783 and holds a License No. 5647 (New Mexico).

The current practice location address for Chade B Green is 1600 North Main, Lovington, NM and can be reached out via phone at 575-396-6611 and via fax at 575-396-1454.

Location: 1600 North Main, Lovington, NM, 88260-2830
person
Provider Profile Details
NPI Number
1093130783
Provider Name
Chade B Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1600 North Main, Lovington, NM, 88260-2830
Phone Number
575-396-6611
Fax Number
575-396-1454
Provider Enumeration Date
03/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74921533 05 NM
institution
Provider Business Practice Location Address Details
Address
1600 North Main
City
State
Zip
88260-2830
Phone Number
575-396-6611
Fax Number
575-396-1454
person
Provider Business Mailing Address Details
Address
1600 North Main
City
State
Zip
88260-2830
Phone Number
575-396-6611
Fax Number
575-396-1454
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2014-0082 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5647 (Arizona)
Definition
Definition to come...
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