Individual
DR. JOHN A GREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Mailing address
2855 E MAGIC VIEW DR, MERIDIAN, ID 83642-6245
(208) 639-4900
(208) 639-4901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-8014
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152027
BLUE SHIELD MERIDIAN
ID
01
—
76708
BLUE CROSS MERIDIAN
ID
05
—
806353100
—
ID
01
—
P00271187
RAILROAD MEDICARE
ID
Enumeration date
05/17/2006
Last updated
02/22/2021
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