Diana M Green
DO | Pediatrics | Female
Diana M Green, DO is a Boise, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Diana M Green is
777 N Raymond St, Boise, Idaho - 83704-9251. She can be contacted on phone at
208-514-2500 and fax number 208-375-2217.
Diana M Green is a sole proprietor of her business.
NPI number (Unique professional ID) for Diana M Green is
1639865207 which was assigned by NPPES on 17 Apr, 2023 and it was last updated on 17 Apr, 2023.
Diana M Green license number is
MRO-2255 for Pediatrics (208000000X) in Idaho.
Diana M Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Diana M Green basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Diana M Green |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Diana M Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 777 N Raymond St
Boise, ID, 83704-9251
United States |
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| Phone Number : | 208-514-2500 |
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| Fax Number : | 208-375-2217 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639865207 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Apr, 2023 |
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| Last Updated On : | 17 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diana M Green are as mentioned. Primary taxonomy code for Diana M Green, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MRO-2255 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8610 W Overland Rd
Boise, ID, 83709-1645
United States |
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| Phone Number : | 208-954-8711 |
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| Fax Number : | 208-375-2217 |
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Business Location:
Patients can refer following map for directions to
Diana M Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.