Individual provider · NPI-1

Jamison Green, M.D.

Orthopaedic Surgery, Sports Medicine · Roseville, CA

NPI number1033430764
StatusActive
Last updated in NPPESNov 18, 2024

Details

NPI
1033430764
Entity type
Individual (NPI-1)
Name
Jamison Green
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 16, 2010
Certification date
Nov 18, 2024
Last updated
Nov 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports MedicineA135735CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Phone 916-784-4000

Mailing address

5820 Owens Dr. Building E, 2nd Floor
Pleasanton, CA 94588-3900

Phone 925-737-3785

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