Individual provider · Type 1 NPI
Damon W. Green, DC
Chiropractor · Salt Lake City, UT
NPI number
1679792584
Active
Practice location
265 E 3300 S
Salt Lake City, UT 84115-3903
Fax (801) 485-9682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 291547-1202 (UT) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1679792584
Damon W. Green, DC's National Provider Identifier is 1679792584, issued on Apr 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.