Individual provider · Type 1 NPI

Damon S. Green, PA-C

Surgical Physician Assistant · Casper, WY

NPI number 1376522276 Active

Practice location

1026 East Second St
Casper, WY 82601

Fax (307) 266-4545

Mailing address

419 S Washington St, Suite 102
Casper, WY 82601-2951

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X365 (WY)

Surgical Physician Assistant: Definition to come...

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About NPI 1376522276

Damon S. Green, PA-C's National Provider Identifier is 1376522276, issued on Jan 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Casper, WY. The record was last updated on Jun 23, 2010.