JONATHAN GREEN

NEWBURGH, IN
NPI1225028210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000335A)
Enumeration Date2005-10-21
Last Update Date2007-07-09
Business Address
-- JONATHAN GREEN P.A.
10444 SR 66 N
NEWBURGH, IN 47630-7954
Phone number: 812-853-9651
Mailing Address
-- JONATHAN GREEN P.A.
2330 LYNCH RD STE 250
EVANSVILLE, IN 47711-2998
Phone number: 812-485-6940
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