Roger Elliott Green in San Clemente - Dermatology
Roger Elliott Green - NPI 1215917968
Roger Elliott Green is a Dermatology in San Clemente, California. Roger Elliott Green practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Roger Elliott Green is 1215917968. The last update date is 2009-11-18.
Roger Elliott Green's current location address is 657 Camino De Los Mares, San Clemente, California. You can contact this provider via phone number 9494966066 and fax number 9494966497. The mailing address for Roger Elliott Green is 657 Camino De Los Mares, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Elliott Green |
|---|---|
| Address | 657 Camino De Los Mares, San Clemente, California |
| Phone Number | 9494966066 |
| Fax Number | 9494966497 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215917968 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2009-11-18 |
Provider Mailing Address Detail
| Address | 657 Camino De Los Mares |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926732826 |
| Phone Number | 9494966066 |
| Fax Number | 9494966497 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | C36384 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code assigned to Roger Elliott Green by the Centers for Medicare & Medicaid Services?
The Roger Elliott Green has been issued the NPI (National Provider Identifier) 1215917968 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Roger Elliott Green's physical address?
The Roger Elliott Green is physically located at 657 Camino De Los Mares, in the city of San Clemente, CA, with the postal code 926732826.
What is the Roger Elliott Green's area of specialization and corresponding taxonomy classification?
The Roger Elliott Green's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1215917968 to Roger Elliott Green?
The Centers for Medicare & Medicaid Services assigned the 1215917968 to Roger Elliott Green on 2006-01-19.
When was the information pertaining to Roger Elliott Green most recently updated or revised?
The details related to Roger Elliott Green, including its address, specialty, and other relevant information, were last updated or revised on 2009-11-18.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH