Most Relevant Information
Provider Data
| NPI Number: | 1003444514 |
| Provider Name: | STUART ANDREW GREEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2020 |
| Last Updated: | 08/04/2023 |
Provider Practice Location
7565 MISSION VALLEY RD
SAN DIEGO
CA
921084431
Practice Location Phone/Fax
| Phone: | 8585547272 |
| Fax: |
Provider Mailing Location
10790 RANCHO BERNARDO RD
SAN DIEGO
CA
921275705
Provider Mailing Phone/Fax
| Phone: | 8585547272 |
| Fax: |