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NPI 1629210992

IndividualActive

Matthew Green, MD

NPI 1629210992 · Dermatology Physician · Casper, WY

Provider details

NPI number: 1629210992
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No

Practice location

2546 E 2nd St.

#400

Casper, WY 82609

Phone: (307) 234-0003

More WY providers

Mailing address

2546 E 2nd St.

Casper, WY 82609

Registry dates

Enumerated: 2009-04-01
Last updated: 2013-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Matthew Green, MD — NPI 1629210992, Casper, WY | NPI Central