JANIEL GREEN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1114297660
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA-957 (ID) |
Frequently Asked Questions
NPI 1114297660 is the National Provider Identifier for JANIEL GREEN, PA-C, a Physician Assistant - Medical provider located in Rexburg, ID. This NPI was enumerated on December 30, 2011.
JANIEL GREEN, PA-C practices at 36 PROFESSIONAL PLZ, SUITE #102, Rexburg, ID 83440.
Quick Facts
- NPI
- 1114297660
- Type
- Individual
- Enumerated
- Dec 30, 2011
- Last Updated
- Dec 30, 2011
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