Nathan Green O.d. P.c.
NPI #1952766362 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1952766362
- Entity Type
- Organization
- Organization Name
- Nathan Green O.d. P.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 30, 2015
- Last Updated
- Dec 30, 2015
Practice Location
- Address
- 241 W 2100 S
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115-1830
- Phone
- (801) 401-1068
Authorized Official
- Name
- DR. NATHAN RAY GREEN, OD
- Title
- PRESIDENT
- Phone
- (801) 401-1068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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