Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY A GREEN, DPM
Active Sole ProprietorDR. GARY A GREEN, DPM is a Podiatrist healthcare provider located in FARMINGTON, Utah. NPI 1801896816 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · FARMINGTON, UT
Registration Details
- NPI Number
- 1801896816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2005 (21.004497952576 yrs)
- Last Updated
- Sep 20, 2007
- License
-
104878-0501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
670 SHEPARD LNSUITE 102FARMINGTON, UT, 840253936Browse UT providers · Browse ZIP 84025
- Phone
- 8014517500
- Fax
- 8014516966
- Primary Specialty
-
Podiatrist
213E00000X
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.