Individual
BENJAMIN JOSEPH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
540 E JEFFERSON ST, SUITE 205, IOWA CITY, IA 52245-2477
(319) 688-7880
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3451
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04689
IA
208600000X
Surgery Physician
R-8930
IA
Other
Enumeration date
07/02/2010
Last updated
06/29/2015
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