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Individual
DANIELLE GREEN
Active
Individual
DANIELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
10518268-1205
UT
208M00000X
Hospitalist Physician
Primary
10518268-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
04/14/2022
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