Dr Stanley W Green, MD is a
Radiology - Diagnostic Radiology physician based in Salem, Utah. Dr Stanley W Green is licensed to practice in Utah (license number 163990-1205) and his current practice location is 55 E 100 S, Salem, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 423-2310.
NPI number for Dr Stanley W Green is 1184610065 and his current mailing address is 2122 W 1800 N, Pmb 305, Clinton, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184610065.
Physician's Profile
| Full Name | Dr Stanley W Green |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 55 E 100 S, Salem, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184610065
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 07/13/2010
Medical Identifiers
Medical identifiers for Dr Stanley W Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184610065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085N0904X | Radiology - Nuclear Radiology | 163990-1205 (Utah) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 163990-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stanley W Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stanley W Green, MD
2122 W 1800 N, Pmb 305,
Clinton, UT 84015-7923
Ph: (801) 310-0153 | Dr Stanley W Green, MD
55 E 100 S,
Salem, UT 84653-8214
Ph: (801) 423-2310 |
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