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Search › Missouri › 225100000X

Matthew Green, MPT

NPI 1245951649 · on the registry since 2022

Practice

Address
1011 Bowles Ave Ste 150
Fenton, MO 63026
Phone
(636) 343-9555
Fax
(636) 343-9556
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-23

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 Missouri