Nathan Green O.d., P.c.

NPI 1477735710 - Optometrist - 152W00000X

NPI Details
NPI 1477735710
Enumeration Date 11/28/2007
Last Updated 11/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NATHAN RAY NATHAN
Position PRESIDENT
Phone (801) 485-9757
Fax (801) 485-8867
Practice Location
1818 S 300 W
SALT LAKE CITY UT, 84115-1805, US
Phone (801) 485-9757
Fax (801) 485-8867
Business Location
1818 S 300 W
SALT LAKE CITY UT, 84115-1805, US
Phone (801) 485-9757
Fax (801) 485-8867
Toxanomy
Taxonomy Code 152W00000X
License State Utah
License Number 5340358-9934
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According to our database, Nathan Green O.d., P.c. NPI is 1477735710, taxonomy code is 152W00000X and license number is 5340358-9934, license state is located at Utah. Nathan Green O.d., P.c. physically located at 1818 S 300 W, Salt Lake City UT, 84115-1805. NPI Number 1033115704 has the healthcare provider type.

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1477735710 NPI number is provided on an as is basis without warranty of any kind. 1477735710 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan Green O.d., P.c. are for informational purposes only.