Brandon K Green

NPI #1851665244 in Lincoln, Nebraska

Provider Information

NPI Number
1851665244
Entity Type
Individual
Name
Brandon K Green
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 1, 2012
Last Updated
Mar 1, 2012

Practice Location

Address
2120 S 56TH ST
Address 2
SUITE 204
ZIP Code
68506-2118
Phone
(308) 627-3198

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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