Jonathan Green, P.A.

NPI #1225028210 in Newburgh, Indiana

Provider Information

NPI Number
1225028210
Entity Type
Individual
Name
Jonathan Green, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Oct 21, 2005
Last Updated
Jul 9, 2007

Practice Location

Address
10444 SR 66 N
State
Indiana
ZIP Code
47630-7954
Phone
(812) 853-9651

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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