Organization
DR MICHAEL R GREEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R GREEN MD (PRESIDENT)
(435) 688-0156
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, 260, ST GEORGE, UT 84790-4488
(435) 688-0156
(435) 688-0330
Mailing address
1490 E FOREMASTER DR, 260, ST GEORGE, UT 84790-4488
(435) 688-0156
(435) 688-0330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
287502-1205
UT
Other
Enumeration date
03/27/2007
Last updated
07/30/2010
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