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Dr. Stephen Tyler Green, MD
Otolaryngology Physician in Marrero, Louisiana
NPI 1285970830

Stephen Tyler Green is a Otolaryngology Physician based in Marrero, LA. Stephen Tyler Green practices in Marrero, LA and has the professional credentials of MD. The NPI Number for Stephen Tyler Green is 1285970830 and holds a License No. (Louisiana).

The current practice location address for Stephen Tyler Green is 1111 Medical Center Blvd Ste N707, Marrero, LA and can be reached out via phone at 504-934-8550.

Location: 1111 Medical Center Blvd Ste N707, Marrero, LA, 70072-3147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285970830
Provider Name
Stephen Tyler Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1111 Medical Center Blvd Ste N707, Marrero, LA, 70072-3147
Phone Number
504-934-8550
Fax Number
Provider Enumeration Date
12/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2412914 05 LA
institution
Provider Business Practice Location Address Details
Address
1111 Medical Center Blvd Ste N707
City
Marrero
State
Louisiana
Zip
70072-3158
Phone Number
504-934-8550
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Medical Center Blvd Ste N707
City
Marrero
State
Louisiana
Zip
70072-3158
Phone Number
504-934-8550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
327285 (Louisiana)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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