KERRY S GREEN MD PLC
Ambulatory Health at Brown Rd, Mesa, AZ

License number
Arizona 29662
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: KERRY GREEN MD
Title: OWNER
Phone: (480) 924-4422
Address
Address
6112 E Brown Rd, Mesa, AZ 85205
National Provider ID: 1356523492
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KERRY S GREEN MD PLC at bizstanding.com

KERRY S. GREEN, M.D., P.L.C

6112 E Brown Rd, Mesa, AZ 85205

Registration:
Mar 4, 2003
State ID:
P-1067643-6
Expiration:
PERPETUAL
Managers:
Stephen L Thomas Md (Manager), 6112 E Brown Rd, Mesa, AZ 85205 (Physical),Kerry S Green (Manager), 6112 E Brown Rd, Mesa, AZ 85205 (Physical)
Agent:
Brad A Denton,Gunderson Denton & Peterson P 1930 N Arboleda Rd STE 201, Mesa, AZ 85213 (Physical)

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