Search › Utah › 2081P0010X
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 ServicesInferred 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