Individual
MRS. CHERYL R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
40815
MT
363AM0700X
Medical Physician Assistant
APA1318
OK
Other
Enumeration date
07/29/2005
Last updated
11/27/2023
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