NPI 1801896816 · live from the CMS NPI Registry
Gary A Green, DPM
Podiatrist in Farmington, UT. National Provider Identifier 1801896816, active.
NPI record
| NPI | 1801896816 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 670 Shepard Ln, Suite 102, Farmington, UT 84025 |
| Practice phone | 801-451-7500 |
| Enumerated | August 1, 2005 |
| Last updated | September 20, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 104878-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.