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Mark Green, N.M.D

NPI 1326170549 · on the registry since 2007

Practice

Address
9359 W 75th St
Building 6
Overland Park, KS 66204
Phone
(913) 825-6111
Fax
(913) 825-6115

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Kansas