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NPI Code Detail

MEDICARE: DANIEL PHILLIP GREENE M.D.

MEDICARE: DANIEL PHILLIP GREENE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianA130722CA
2207W00000XOphthalmology Physician0101257472VA

General Provider Information

NPI Number : 1386957876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL PHILLIP GREENE M.D.
Provider Business Mailing Address
First Line : 4600 COX RD
Second Line : SUITE 120
City : GLEN ALLEN
State : VA
Zip : 23060-6708
Country : US
Telephone Number : 804-270-0330
Fax Number : 804-270-1003
Provider Business Practice Location Address
First Line : 10800 MIDLOTHIAN TPKE
Second Line : SUITE 127
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4700
Country : US
Telephone Number : 804-897-1510
Fax Number : 804-897-1692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2010
Last Update Date : 07/18/2015

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Directions to “ DANIEL PHILLIP GREENE M.D.” Practice Location

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