Jeremy D Green

NPI #1295372522 in Logan, Utah

Provider Information

NPI Number
1295372522
Entity Type
Individual
Name
Jeremy D Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist
Enumeration Date
Dec 5, 2019
Last Updated
Dec 5, 2019

Practice Location

Address
293 S MAIN ST
City
Logan
State
Utah
ZIP Code
84321-5203
Phone
(435) 753-4133

Specialties & Taxonomy Codes

Specialty
Audiologist

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