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Contact Information

GLORIA C EDREIRA GREEN, MD
943 HUALAPAI WAY
PEACH SPRINGS, AZ86434
 Phone: 928-769-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GLORIA C EDREIRA GREEN · (Female)

NPI Number 1720014608
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 04/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06551000
  • NJ Medicaid 8887501
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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