| Doctor Name: | DR. RICHARD NATHANIEL GREENE |
| NPI Number: | 1568610707 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101246956 |
| Business Practice Address: | 9040 Jackson Ave Madigan Army Medical Center Attn: Urology Service Tacoma, WA - 984311100 |
| Business Phone Number: | 2539682417 |
| Business Fax Number: | 2539682895 |
| Mailing Address: | 9040 Jackson Ave, Madigan Army Medical Center Attn: Urology Service TACOMA |
| State: | WA |
| Postal Code: | 984311100 |
| Phone Number: | 2539682417 |
| Fax Number: | 2539682895 |
| NPI Enumeration Date: | 08/29/2008 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101246956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |