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Jeremy Green
NPI 1295372522 · on the registry since 2019
Practice
- Address
- 293 S Main St
Logan, UT 84321 - Phone
- (435) 753-4133
- Organisation at this address
- Robert L B Stevenson
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah