Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana M Green, DO

Individual provider Pediatrics Physician · NPI 1639865207

Diana M Green, DO is a Pediatrics Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8610 W Overland Rd
Boise, ID 83709-1645
Phone: (208) 954-8711
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MRO-2255 (ID)

Record details

NPI number1639865207
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 15, 2023
Mailing address777 N Raymond St, Boise, ID 83704-9251

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