Individual provider · Type 1 NPI

Shannon Green

Diagnostic Radiology Physician · San Diego, CA

NPI number 1306370150 Active

Practice location

200 W Arbor Dr # MC8425
San Diego, CA 92103-1911

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA160498 (CA)
Diagnostic Radiology Physician Primary 2085R0202XA160498 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1306370150

Shannon Green's National Provider Identifier is 1306370150, issued on Apr 19, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2023.