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Michael Green, D.O

NPI 1063665719 · on the registry since 2008

Practice

Address
81 N Mario Capecchi Dr
Department Of Pediatrics
Salt Lake City, UT 84113
Phone
(801) 213-7737
Fax
(801) 587-7539
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
University Of Utah Pediatric Services
University Of Utah Pediatric Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
198

Registry record

Primary taxonomy
2081P0010X
2081P0010X
Also registered as
208100000X
2081P0010X
2081P0301X
390200000X
Licence states on file
TX, MO, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah