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Richard Green, PA-C
Medical Physician Assistant in Clovis, California
NPI 1649624040

Richard Green is a Medical Physician Assistant based in Clovis, CA and is specialized in Medical. Richard Green practices in Clovis, CA and has the professional credentials of PA-C. The NPI Number for Richard Green is 1649624040 and holds a License No. 53321 (California).

The current practice location address for Richard Green is 1555 Shaw Ave Ste 101, Clovis, CA and can be reached out via phone at 559-324-7001.

Location: 1555 Shaw Ave Ste 101, Clovis, CA, 93611-4096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649624040
Provider Name
Richard Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1555 Shaw Ave Ste 101, Clovis, CA, 93611-4096
Phone Number
559-324-7001
Fax Number
Provider Enumeration Date
04/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1555 Shaw Ave Ste 101
City
Clovis
State
California
Zip
93611-4096
Phone Number
559-324-7001
Fax Number
person
Provider Business Mailing Address Details
Address
1555 Shaw Ave Ste 101
City
Clovis
State
California
Zip
93611-4096
Phone Number
559-324-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
53321 (California)
Definition
Definition to come...
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