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Organization
PATRICK GREEN MD PLLC
Active
Organization
PATRICK GREEN MD PLLC
Active
Other names
Tooele Methadone Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK NELSON GREEN MD (MEDICAL DIRECTOR/OWNER)
(801) 792-7335
Entity
Organization
Contact information
Practice address
30 S TOOELE BLVD, TOOELE, UT 84074-2093
(435) 241-7778
(435) 248-0334
Mailing address
30 S TOOELE BLVD, TOOELE, UT 84074-2093
(435) 248-0333
(435) 248-0334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
01/14/2026
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