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Dr. Justin B. Green, DPM
Foot & Ankle Surgery Podiatrist in New Iberia, Louisiana
NPI 1124027644

Justin B. Green is a Foot & Ankle Surgery Podiatrist based in New Iberia, LA and is specialized in Foot & Ankle Surgery. Justin B. Green practices in New Iberia, LA and has the professional credentials of DPM. The NPI Number for Justin B. Green is 1124027644 and holds a License No. PD324R (Louisiana).

The current practice location address for Justin B. Green is 2309 E Main St, New Iberia, LA and can be reached out via phone at 337-364-8878 and via fax at 337-364-8380.

Location: 2309 E Main St, New Iberia, LA, 70560-4046
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Provider Profile Details
NPI Number
1124027644
Provider Name
Justin B. Green
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2309 E Main St, New Iberia, LA, 70560-4046
Phone Number
337-364-8878
Fax Number
337-364-8380
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1462462 05 LA
2223526 01 LA FIRST HEALTH
PD324R 01 LA STATE LICENSE #
7714575 01 LA AETNA
institution
Provider Business Practice Location Address Details
Address
2309 E Main St
City
State
Zip
70560-4046
Phone Number
337-364-8878
Fax Number
337-364-8380
person
Provider Business Mailing Address Details
Address
2309 E Main St
City
State
Zip
70560-4046
Phone Number
337-364-8878
Fax Number
337-364-8380
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PD324R (Louisiana)
Definition
Definition to come...
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