Individual
DAMON S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1026 EAST SECOND ST, CASPER, WY 82601
(307) 266-4000
(307) 266-4545
Mailing address
419 S WASHINGTON ST, SUITE 102, CASPER, WY 82601-2951
(307) 577-4220
(370) 235-0931
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
365
WY
Other
Enumeration date
01/10/2006
Last updated
06/23/2010
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