Whalio Doctors

NPI 1144318775

Frederick Chapman Green, MD

Practitioner Child & Adolescent Psychiatry Physician Glendale, AZ

Practice location

Address
8802 N 61st Ave, Glendale, AZ 85302-4521
Phone
(623) 934-1991
Fax
(480) 733-3031
Mailing address
2101 E Redfield Rd, Phoenix, AZ 85022-4660

Registered specialties

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 19095 (AZ)

Registry record

NPI
1144318775
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2006
Record last updated
8 Jul 2007

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.