Individual
DR. STANLEY W GREEN
Active
Individual
DR. STANLEY W GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
163990-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
163990-1205
UT
Other
Enumeration date
09/26/2005
Last updated
07/13/2010
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