SearchIdaho390200000X

Daniel Green

NPI 1902603186 · on the registry since 2025 · sole proprietor

Practice

Address
921 S 8th Ave
Pocatello, ID 83201
Phone
(208) 282-4636
Organisation at this address
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Sex
Male
Record last updated
2025-02-26

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