Individual provider · Type 1 NPI

Diana M. Green, DO

Pediatrics Physician · Boise, ID

NPI number 1639865207 Active

Practice location

8610 W Overland Rd
Boise, ID 83709-1645

Call (208) 954-8711 Map

Fax (208) 375-2217

Mailing address

777 N Raymond St
Boise, ID 83704-9251

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X2271350 (ID)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1639865207

Diana M. Green, DO's National Provider Identifier is 1639865207, issued on Apr 17, 2023. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Boise, ID. The record was last updated on Sep 2, 2026.