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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DAVID ANDREW GREEN, M.D.

Deactivated

DR. DAVID ANDREW GREEN, M.D. is a Pediatrics healthcare provider located in PRESCOTT, Arizona. NPI 1073516589 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · PRESCOTT, AZ

This NPI has been deactivated. The record was deactivated on April 4, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1073516589
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2005 (0.84657534246575 yrs)
Last Updated
Apr 18, 2016
Deactivated
Apr 4, 2006
License
31075 (AZ)

Practice Information

Address
1090 COMMERCE DR
PRESCOTT, AZ, 863053700
Browse AZ providers · Browse ZIP 86305
Phone
9285831000
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in PRESCOTT, AZ

Name Credential NPI
DR. KATHRYN T BALLARD M.D. 1285604504
JAMES M MICK MD 1336118926
MATTHEW J HINTON MD 1881653558
SHELLY FAYE KLEIN MD 1659449411
DR. LOURDES R JACOBO M.D. 1861548679
RONAEL ECKMAN MD 1265766984
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.