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
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-3936
- Phone
- (801) 451-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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