Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANIEL J GREEN, PA-C
ActiveJANIEL J GREEN, PA-C is a Medical Physician Assistant healthcare provider located in REXBURG, Idaho. NPI 1114297660 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · REXBURG, ID
Registration Details
- NPI Number
- 1114297660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2011 (14.634834090839 yrs)
- Last Updated
- Dec 30, 2011
- License
-
PA-957 (ID)
Practice Information
- Address
-
36 PROFESSIONAL PLZSUITE #102REXBURG, ID, 834402049Browse ID providers · Browse ZIP 83440
- Phone
- 2083560234
- Fax
- 2086568444
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| TRENT E SHAW | PA-C | 1366488926 |
| ZACHERY M BRUNSON | PA-C | 1447296785 |
| CHRISTINA GOODMAN | PA | 1780691394 |
| MR. DALLIN BRIM GAMBLES | PA | 1760533400 |
| MR. BRETT GERALD BAGLEY | P.A. - CERTIFIED | 1932254133 |
| MR. MARK S. HAMMAR | PA-C | 1609998731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.