Individual
MR. DANIEL DALE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 442-4265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10231439-1206
UT
363A00000X
Physician Assistant
1077676
NE
Other
Enumeration date
07/24/2007
Last updated
03/17/2018
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