Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 32747 | AZ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 32747 | AZ |
NPI | 1346286762 |
---|---|
Provider Name | David Lawrence Greene |
First Address | Sun City West, AZ 85375-5286 |
Second Address | Sun City, AZ 85351-3064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
867749 | (05) | AZ |
I08383 | (02) | AZ |