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Contact Information

JOHN A GREEN III, MD
3 JUEGO CT
SANTA FE, NM87508
 Phone: 503-722-4270
 Fax: 503-722-4450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JOHN A GREEN III · (Male)

NPI # 1306997499
Status Active
Credentials MD
Entity Individual
Enumeration date 01/15/2007
Last updated 11/26/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD12292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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