Search › Idaho › 363AS0400X
Tyson Greener, PA-C
NPI 1356123863 · on the registry since 2023 · sole proprietor
Practice
- Address
- 260 E 5th St N
Burley, ID 83318 - Phone
- (208) 678-9760
- Fax
- (208) 678-9758
- Clinicians at this address
- 4
Additional practice sites
- 1224 8th St, Rupert, ID
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-07
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 Idaho