Individual provider · Type 1 NPI
Stanley W. Green, MD
Diagnostic Radiology Physician · Salem, UT
NPI number
1184610065
Active
Practice location
55 E 100 S
Salem, UT 84653-8214
Mailing address
2122 W 1800 N, Pmb 305
Clinton, UT 84015-7923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 163990-1205 (UT) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 163990-1205 (UT) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1184610065
Stanley W. Green, MD's National Provider Identifier is 1184610065, issued on Sep 26, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Salem, UT. The record was last updated on Jul 13, 2010.