NPI 1508249947

Richard D. Green, MD, PC

Organisation Pediatrics Physician Casper, WY

Practice location

Address: 940 E 3rd St STE 102, Casper, WY 82601-3200
Phone: (307) 577-4280
Fax: (307) 577-4283

Authorised official

Name: Richard Dewar Green
Title: Owner
Phone: (307) 577-4280

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2373A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1508249947
Entity type: Organization
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.