JOHNNY GREEN, MD
Colon & Rectal Surgery
Active
Individual
NPI: 1386612414
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | No | 35113 (WA) |
| Colon & Rectal Surgery | 208C00000X | Yes | M-11186 (ID) |
Frequently Asked Questions
NPI 1386612414 is the National Provider Identifier for JOHNNY GREEN, MD, a Colon & Rectal Surgery provider located in Boise, ID. This NPI was enumerated on March 14, 2006.
JOHNNY GREEN, MD practices at 1072 N LIBERTY STREET, SUITE 201, Boise, ID 83704.
Quick Facts
- NPI
- 1386612414
- Type
- Individual
- Enumerated
- Mar 14, 2006
- Last Updated
- Nov 15, 2016
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