Individual
DR. PATRICK NELSON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 W 1180 N, SUITE # 5, TOOELE, UT 84074
(435) 248-0333
(435) 248-0334
Mailing address
134 W 1180 N, SUITE # 5, TOOELE, UT 84074
(435) 248-0333
(435) 248-0334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6846499-1205
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
6846499-8905
UT
Other
Enumeration date
05/24/2007
Last updated
06/13/2024
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