NPI 1083000855

James Green, DO

Practitioner Family Medicine Physician Puyallup, WA

Practice location

Address: 1322 3rd St SE Suite 240, Puyallup, WA 98372
Phone: (253) 697-1420
Fax: (253) 697-1439
Mailing address: 2493 S Wildcat Way Unit B, Woods Cross, UT 84010-8292

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10748354-1204 (UT)

Other Family Medicine providers in Washington →

Registry record

NPI: 1083000855
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2015
Record last updated: 3 Aug 2018

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.