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Kerry S Green Md Plc
Clinic/Center in Mesa, Arizona
NPI 1356523492

Kerry S Green Md Plc is a Clinic/Center based in Mesa, AZ. Kerry S Green Md Plc practices in Mesa, AZ. The NPI Number for Kerry S Green Md Plc is 1356523492 and holds a License No. 29662 (Arizona).

The current practice location address for Kerry S Green Md Plc is 6112 E Brown Rd, Mesa, AZ and can be reached out via phone at 480-924-4422.

Location: 6112 E Brown Rd, Mesa, AZ, 85205-4955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356523492
Provider Name
Kerry S Green Md Plc
Credential
Provider Entity Type
Organization
Address
6112 E Brown Rd, Mesa, AZ, 85205-4955
Phone Number
480-924-4422
Fax Number
Provider Enumeration Date
11/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6112 E Brown Rd
City
Mesa
State
Arizona
Zip
85205-4955
Phone Number
480-924-4422
Fax Number
person
Provider Business Mailing Address Details
Address
6112 E Brown Rd
City
Mesa
State
Arizona
Zip
85205-4955
Phone Number
480-924-4422
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
29662 (Arizona)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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