James Green, D.O.
Family Medicine in Puyallup, WA. Individual provider (NPI-1).
NPI number1083000855
StatusActive
Last updated in NPPESAug 3, 2018
Details
- NPI
- 1083000855
- Entity type
- Individual (NPI-1)
- Name
- James Green
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2015
- Last updated
- Aug 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10748354-1204 | UT | Yes |
Practice location
1322 3rd St SeSuite 240
Puyallup, WA 98372
Phone 253-697-1420 · Fax 253-697-1439
Mailing address
2493 S Wildcat Way Unit BWoods Cross, UT 84010-8292
Phone 801-693-3020
Other practice locations
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