DR. Gary A Green, DPM

NPI #1801896816 in Farmington, Utah

Provider Information

NPI Number
1801896816
Entity Type
Individual
Name
DR. Gary A Green, DPM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Aug 1, 2005
Last Updated
Sep 20, 2007

Practice Location

Address
670 SHEPARD LN
Address 2
SUITE 102
State
Utah
ZIP Code
84025-3936
Phone
(801) 451-7500

Specialties & Taxonomy Codes

Specialty
Podiatrist

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