Individual provider · Type 1 NPI

Mark Alan Green, DPM

Foot & Ankle Surgery Podiatrist · Kansas City, MO

NPI number 1073550604 Active

Practice location

1010 Carondelet Dr, Suite 301
Kansas City, MO 64114-4859

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X000639 (MO)
Foot & Ankle Surgery Podiatrist 213ES0103X12000254 (KS)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1073550604

Mark Alan Green, DPM's National Provider Identifier is 1073550604, issued on Jun 1, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kansas City, MO. The record was last updated on Apr 24, 2024.