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Individual

DR. CHERYL LYNN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5334 S WOODROW ST STE 100, MURRAY, UT 84107-5838
(801) 713-0600
(801) 713-0601
Mailing address
5334 S WOODROW ST STE 100, MURRAY, UT 84107-5838
(801) 713-0600
(801) 713-0601

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
331071-1205
UT
2085R0202X
Diagnostic Radiology Physician
DR.0070410
CO
2085R0202X
Diagnostic Radiology Physician
M-10273
ID
2085R0202X
Diagnostic Radiology Physician
ME133855
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022659500
FL
05
1063452225
UT
05
D1955
UT
01
O1397
MEDICARE HF
FL
Enumeration date
06/07/2006
Last updated
05/15/2026
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