DALE JERRY GREEN

SALT LAKE CITY, UT
NPI1861044117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  11918961-1206)
Enumeration Date2019-07-16
Last Update Date2022-10-24
Business Address
DALE JERRY GREEN PA-C
85 N MEDICAL DR
SALT LAKE CITY, UT 84132-1428
Phone number: 801-213-8584
Mailing Address
DALE JERRY GREEN PA-C
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-213-8584
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