IndividualActive
Gary Green, DPM
NPI 1801896816 · Podiatrist · Farmington, UT
Provider details
- NPI number
- 1801896816
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104878-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
670 Shepard Ln
Suite 102
Farmington, UT 84025-3936
Phone: (801) 451-7500
Fax: (801) 451-6966
Approximate (ZIP-level) locationGet directions
Mailing address
670 Shepard Ln
Farmington, UT 84025-3936
Registry dates
- Enumerated
- 2005-08-01
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.