Green, Stanley W

Green, Stanley W is an individual health care provider with primary practice located at 55 E 100 S , Salem UT 84653-8214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Green, Stanley W can be contacted via phone (801) 423-2310.

Contact Information

Primary practice address
55 E 100 S Salem UT 84653-8214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 163990-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 163990-1205 Utah

Profile Details

NPI number 1184610065
LBN Legal business name Green, Stanley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 13th, 2010 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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