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.

Personal information

See more information about MICHAEL MATTHEW GREEN at radaris.com
Name
Address
Phone
Michael Green, age 66
4967 W 6600 S, West Jordan, UT 84081

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