1386612414 Johnny Bert Green, MD
Colon & Rectal Surgery Physician
Active
Basic Information
- Full Name
- Johnny Bert Green, MD
- Gender
- Male
- Enumeration Date
- March 14, 2006
- Last Update
- November 15, 2016
Practice Location
- Address
- 1072 N LIBERTY STREET
SUITE 201
BOISE, ID 83704 - Phone
- (208) 302-2400
- Fax
- (208) 302-2455
Mailing Address
- Address
- 3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026 - Phone
- (208) 302-2400
- Fax
- (208) 302-2455
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Surgery Physician | 208600000X | Surgery | 35113 | WA | No |
| Colon & Rectal Surgery Physician | 208C00000X | Colon & Rectal Surgery | 35113 | WA | No |
| Colon & Rectal Surgery Physician | 208C00000X | Colon & Rectal Surgery | M-11186 | ID | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386612414 | 05 | ID | N/A |
Frequently Asked Questions
What is Johnny Bert Green, MD's NPI number?
Johnny Bert Green, MD's NPI number is 1386612414.
Which doctor has NPI number 1386612414?
The doctor with NPI number 1386612414 is Johnny Bert Green, MD.
What is Johnny Bert Green, MD's practice address?
Johnny Bert Green, MD's practice address is 1072 N LIBERTY STREET, SUITE 201, BOISE, ID, 83704.
Which doctor practices at 1072 N LIBERTY STREET, SUITE 201, BOISE, ID, 83704?
Johnny Bert Green, MD practices at 1072 N LIBERTY STREET, SUITE 201, BOISE, ID, 83704.
What is Johnny Bert Green, MD's mailing address?
Johnny Bert Green, MD's mailing address is 3340 E GOLDSTONE WAY, MERIDIAN, ID, 836421026.
What is Johnny Bert Green, MD's phone number?
Johnny Bert Green, MD's phone number is (208) 302-2400.
Who is (208) 302-2400?
(208) 302-2400 is the phone number for Johnny Bert Green, MD.
What is Johnny Bert Green, MD's specialty?
Johnny Bert Green, MD's specialty is Colon & Rectal Surgery Physician.
What type of doctor is Johnny Bert Green, MD?
Johnny Bert Green, MD is a Colon & Rectal Surgery Physician.
Is Johnny Bert Green, MD a Colon & Rectal Surgery?
Yes, Johnny Bert Green, MD is a Colon & Rectal Surgery.
Is Johnny Bert Green, MD still practicing?
Yes, Johnny Bert Green, MD is currently practicing.
Is Johnny Bert Green, MD accepting new patients?
Johnny Bert Green, MD may be accepting new patients. Please call their office at (208) 302-2400 to inquire about availability.
Is NPI 1386612414 still active?
Yes, NPI 1386612414 is currently active.
Where does Johnny Bert Green, MD practice?
Johnny Bert Green, MD practices in BOISE, ID.
Is Johnny Bert Green, MD a male or female doctor?
Johnny Bert Green, MD is a male doctor.