DR. MICHAEL MATTHEW GREEN, D.O.
Medical Practice at Mario Capecchi Dr, Salt Lake City, UT

License number
Utah 8728465-1204
Category
Medical Practice
Type
Pediatric Rehabilitation Medicine
License number
Utah BP10031712
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
Utah 2011017820
Category
Medical Practice
Type
Pediatric Rehabilitation Medicine
License number
Utah 8728465-1204
Category
Medical Practice
Type
Brain Injury Medicine
Address
Address
81 N Mario Capecchi Dr, Salt Lake City, UT 84113
Phone
(801) 213-7737
(801) 587-7539 (Fax)
National Provider ID: 1063665719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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