Ted Allen Green, MD | |
515 N Virginia Ave, Eureka, MO 63025-1115 | |
(636) 587-3000 | |
(636) 587-2243 |
Full Name | Ted Allen Green |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 515 N Virginia Ave, Eureka, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831200476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 106508 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ted Allen Green, MD 515 N Virginia Ave, Eureka, MO 63025-1115 Ph: (636) 587-3000 | Ted Allen Green, MD 515 N Virginia Ave, Eureka, MO 63025-1115 Ph: (636) 587-3000 |
Dr. Amanda Groebl Judilla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 N Virginia Ave, Eureka, MO 63025 Phone: 636-587-3000 | |
Doug S Nozaki, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 515 N Virginia Ave, Eureka, MO 63025 Phone: 636-587-3000 Fax: 636-587-3000 |