MR. Eric Ross Green, CP
NPI #1629391446 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1629391446
- Entity Type
- Individual
- Name
- MR. Eric Ross Green, CP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- CP
- Enumeration Date
- Mar 8, 2010
- Last Updated
- Mar 8, 2010
Practice Location
- Address
- FAIRFAX ROAD AT VIRGINIA ST.
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84103-4399
- Phone
- (801) 536-3820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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