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NPI Code Detail

MEDICARE: ROBERT A. GREENE, M.D., INC.

MEDICARE: ROBERT A. GREENE, M.D., INC.
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
1207V00000XObstetrics & Gynecology PhysicianG76421CA

General Provider Information

NPI Number : 1114069267
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A. GREENE, M.D., INC.
Provider Business Mailing Address
First Line : PO BOX 994032
Second Line :
City : REDDING
State : CA
Zip : 96099-4032
Country : US
Telephone Number : 530-241-0473
Fax Number :
Provider Business Practice Location Address
First Line : 1255 EAST ST
Second Line : SUITE 201
City : REDDING
State : CA
Zip : 96001-0800
Country : US
Telephone Number : 530-244-9052
Fax Number : 530-244-9053
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT A. GREENE
Credential : M.D.
Telephone Number : 530-244-9052
Provider Enumeration Date : 02/13/2007
Last Update Date : 08/22/2020

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Directions to “ROBERT A. GREENE, M.D., INC. ” Practice Location

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