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Dr. Candace C Green, MD
Obstetrics Physician in Richland, Washington
NPI 1154313674

Candace C Green is a Obstetrics Physician based in Richland, WA and is specialized in Obstetrics. Candace C Green practices in Richland, WA and has the professional credentials of MD. The NPI Number for Candace C Green is 1154313674 and holds a License No. 4301073070 (Washington).

The current practice location address for Candace C Green is 2630 N Columbia Center Blvd, Richland, WA and can be reached out via phone at 509-420-5053 and via fax at 509-492-5537. You can also correspond with Candace C Green through the mailing address at 2630 N COLUMBIA CENTER BLVD, RICHLAND, WA - 99352-4853 (mailing address contact number: 509-420-5053).

Location: 2630 N Columbia Center Blvd, Richland, WA, 99352-4853
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Provider Profile Details
NPI Number
1154313674
Provider Name
Candace C Green
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2630 N Columbia Center Blvd, Richland, WA, 99352-4853
Phone Number
509-420-5053
Fax Number
509-492-5537
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0700410 01 MI PHP
1605910202 01 MI BCBS
4706065 05 MI
4709343 05 MI
4706056 05 MI
institution
Provider Business Practice Location Address Details
Address
2630 N Columbia Center Blvd
City
State
Zip
99352-4853
Phone Number
509-420-5053
Fax Number
509-492-5537
person
Provider Business Mailing Address Details
Address
2630 N Columbia Center Blvd
City
State
Zip
99352-4853
Phone Number
509-420-5053
Fax Number
509-492-5537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
4301073070 (Michigan)
Definition
Definition to come...
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