IndividualActive
Jonah Green, MD
NPI 1013079524 · Surgery Physician · Afton, WY
Provider details
- NPI number
- 1013079524
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9859A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
110 Hospital Ln
Afton, WY 83110-9409
Phone: (307) 885-5852
Approximate (ZIP-level) locationGet directions
Mailing address
110 Hospital Ln
Afton, WY 83110-9409
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2016-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.