Individual provider · Type 1 NPI
Jonathan Michael Green, CNIM
Electroneurodiagnostic Specialist/Technologist · Colorado Springs, CO
NPI number
1467829192
Active
Practice location
13 S Tejon St Fl 5
Colorado Springs, CO 80903-1513
Mailing address
8540 SW Ash Meadows Rd, 113
Wilsonville, OR 97070-4014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 2612 (MD) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
Another provider at this address
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About NPI 1467829192
Jonathan Michael Green, CNIM's National Provider Identifier is 1467829192, issued on Aug 28, 2015. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Colorado Springs, CO. The record was last updated on Aug 28, 2015.