Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACK GREEN, MD
ActiveMACK GREEN, MD is a Sports Medicine healthcare provider located in APPLE VALLEY, California. NPI 1043531676 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · APPLE VALLEY, CA
Registration Details
- NPI Number
- 1043531676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2010 (16.201936318309 yrs)
- Last Updated
- Sep 28, 2015
- License
-
A1259029 (CA)
Practice Information
- Address
-
16008 KAMANA RDSUITE 100APPLE VALLEY, CA, 923071376Browse CA providers · Browse ZIP 92307
- Phone
- 7609565200
- Fax
- 7606690793
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.