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Search › New Mexico › 208600000X

Justin Green

NPI 1114966462 · on the registry since 2006

Practice

Address
3917 West Rd Ste A
Los Alamos, NM 87544
Phone
(505) 661-8900
Organisation at this address
Gonzalo A Diaz
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc- Los Alamos Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico