| Patrick Green Md Pllc | |
|
134 W 1180 N Ste 4 Tooele UT 84074-1483 | |
| (435) 248-0333 | |
| (435) 248-0334 |
| Full Name | Patrick Green Md Pllc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 134 W 1180 N Ste 4, Tooele, Utah |
| Authorized Official Name and Position | Patrick Nelson Green (OWNER) |
| Authorized Official Contact | 8017927335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Green Md Pllc 134 W 1180 N Ste 4 Tooele UT 84074-1483 Ph: (435) 248-0333 | Patrick Green Md Pllc 134 W 1180 N Ste 4 Tooele UT 84074-1483 Ph: (435) 248-0333 |
| NPI Number | 1053187310 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053187310 | NPI | - | NPPES |
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