NPI 1629210992

Matthew Reed Green, MD

Practitioner Dermatology Physician Casper, WY

Practice location

Address: 2546 E 2nd St. #400, Casper, WY 82609
Phone: (307) 234-0003

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 8877A (WY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1629210992
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2009
Record last updated: 26 Jul 2013

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.