Individual provider · Type 1 NPI
Justin B. Green, D.P.M.
Foot & Ankle Surgery Podiatrist · New Iberia, LA
NPI number
1124027644
Active
Practice location
2309 E Main St, Suite 201
New Iberia, LA 70560-4046
Fax (337) 364-8380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PD324R (LA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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Other foot & ankle surgery podiatrist providers in New Iberia
About NPI 1124027644
Justin B. Green, D.P.M.'s National Provider Identifier is 1124027644, issued on Jul 18, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in New Iberia, LA. The record was last updated on Jul 8, 2007.