Doctor Name: | DR. ROBERT FOSTER GREENWOOD |
NPI Number: | 1356638068 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 1530 |
Business Practice Address: | 1060 Gaffney Rd #7400 Fort Wainwright, AK - 997035002 |
Business Phone Number: | 9073615957 |
Business Fax Number: | |
Mailing Address: | 1060 Gaffney Rd, #7400 FORT WAINWRIGHT |
State: | AK |
Postal Code: | 997035002 |
Phone Number: | 9073615957 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2011 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |