Individual provider · Type 1 NPI
Robert M. Green Jr., MD
Plastic and Reconstructive Surgery Physician · Eureka, CA
NPI number
1932198249
Active
Practice location
612 G St
Eureka, CA 95501-1020
Fax (707) 444-3459
Mailing address
PO Box 496084
Redding, CA 96049-6084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | G73342 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1932198249
Robert M. Green Jr., MD's National Provider Identifier is 1932198249, issued on Oct 19, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Eureka, CA. The record was last updated on Nov 2, 2021.