Thomas Jefferson Green, CRNA

NPI #1467535583 in Henderson, Nevada

Provider Information

NPI Number
1467535583
Entity Type
Individual
Name
Thomas Jefferson Green, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Oct 23, 2006
Last Updated
Dec 17, 2007

Practice Location

Address
129 W LAKE MEAD PKWY
Address 2
B18
State
Nevada
ZIP Code
89015-7055
Phone
(702) 564-4440

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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