Whalio Doctors

NPI 1013079524

Jonah Jess Green, MD

Practitioner Surgery Physician Afton, WY

Practice location

Address
110 Hospital Ln, Afton, WY 83110-9409
Phone
(307) 885-5852

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 9859A (WY)

Registry record

NPI
1013079524
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2006
Record last updated
14 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.