Darryl A Green in Perryville - Family Medicine
Darryl A Green - NPI 1487655619
Darryl A Green is a Family Medicine in Perryville, Missouri. Darryl A Green practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Darryl A Green is 1487655619. The last update date is 2011-04-14.
Darryl A Green's current location address is 212 Hospital Ln, Perryville, Missouri. You can contact this provider via phone number 5735477888 and fax number 5735477343. The mailing address for Darryl A Green is 212 Hospital Ln, Perryville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryl A Green |
|---|---|
| Address | 212 Hospital Ln, Perryville, Missouri |
| Phone Number | 5735477888 |
| Fax Number | 5735477343 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487655619 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2011-04-14 |
Provider Mailing Address Detail
| Address | 212 Hospital Ln |
|---|---|
| City | Perryville |
| State | Missouri (MO) |
| Post Code | 637751276 |
| Phone Number | 5735477888 |
| Fax Number | 5735477343 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2004015323 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00213538 | MO | RAILROAD MEDICARE | |
| 209293307 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Darryl A Green by the Centers for Medicare & Medicaid Services?
The Darryl A Green has been assigned the NPI (National Provider Identifier) 1487655619. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Darryl A Green is geographically located?
The Darryl A Green is physically situated at the following location: 212 Hospital Ln, Perryville, MO, 637751276.
What is Darryl A Green's specialized field of practice, and what is the corresponding taxonomy classification code?
The Darryl A Green's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487655619 to Darryl A Green?
The Centers for Medicare & Medicaid Services originally issued the 1487655619 to Darryl A Green on 2005-08-10.
As of what date were the Darryl A Green's details last updated?
The information pertaining to the Darryl A Green, including its address, specialty, and other details, was most recently updated on 2011-04-14.
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