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Dr. Douglas Allen Green, MD,PHD
Diagnostic Radiology Physician in Temecula, California
NPI 1164635173

Douglas Allen Green is a Diagnostic Radiology Physician based in Temecula, CA and is specialized in Diagnostic Radiology. Douglas Allen Green practices in Temecula, CA and has the professional credentials of MD,PHD. The NPI Number for Douglas Allen Green is 1164635173 and holds a License No. A100113 (California).

The current practice location address for Douglas Allen Green is 31700 Temecula Pkwy, Temecula, CA and can be reached out via phone at 951-600-3811.

Location: 31700 Temecula Pkwy, Temecula, CA, 92593-2389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164635173
Provider Name
Douglas Allen Green
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
31700 Temecula Pkwy, Temecula, CA, 92593-2389
Phone Number
951-600-3811
Fax Number
Provider Enumeration Date
05/07/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164635173 05 CA
00A1001130 01 CA BS OF CA
institution
Provider Business Practice Location Address Details
Address
31700 Temecula Pkwy
City
Temecula
State
California
Zip
92592-5896
Phone Number
951-600-3811
Fax Number
person
Provider Business Mailing Address Details
Address
31700 Temecula Pkwy
City
Temecula
State
California
Zip
92592-5896
Phone Number
951-600-3811
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
16698C (Wyoming)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MC-207 ()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A100113 (California)
Definition
Definition to come...
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