John Robert Green, MD is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. John Robert Green, MD NPI is 1710447313. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3635 VISTA AVE
SAINT LOUIS, MO
ZIP 63110-500
Phone: (314) 577-8850
Fax: (314) 268-5121
The NPI 1710447313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/21/2019 and was last updated on 3/21/2019.