Roger Elliott Green, MD
Roger Elliott Green, MD is a Dermatology in San Clemente, California. Graduated from University of Louisville School of Medicine in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 53
- Trained at
- University of Louisville School of Medicine
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
657 Camino De Los Mares Ste 242San Clemente, CA 92673
Phone: (949) 496-6066
Fax: (949) 496-6497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence C36384 (CA) |
|---|
Record details
| NPI number | 1215917968 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2006 |
| Last updated in NPPES | November 18, 2009 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduated | 1973 (53 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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