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Individual

ROBERT JOSEPH GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 727-2056
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7038310-4406
UT
367500000X
Certified Registered Nurse Anesthetist
CRNA1179
AZ

Other

Enumeration date
08/07/2015
Last updated
10/25/2021
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