person
Graham Green, DO
Military Health Care Provider in San Diego, California
NPI 1619733839

Graham Green is a Military Health Care Provider based in San Diego, CA. Graham Green practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Graham Green is 1619733839 and holds a License No. (California).

The current practice location address for Graham Green is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 614-949-9446.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
person
Provider Profile Details
NPI Number
1619733839
Provider Name
Graham Green
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
614-949-9446
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
614-949-9446
Fax Number
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
614-949-9446
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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