DR. Michael Matthew Green, D.O.
NPI #1063665719 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1063665719
- Entity Type
- Individual
- Name
- DR. Michael Matthew Green, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- D.O.
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Dec 10, 2021
Practice Location
- Address
- 81 N MARIO CAPECCHI DR
- Address 2
- DEPARTMENT OF PEDIATRICS
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1125
- Phone
- (801) 213-7737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
| Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine — Pediatric Rehabilitation Medicine |
| Physical Medicine & Rehabilitation - Brain Injury Medicine — Brain Injury Medicine |
| Student in an Organized Health Care Education/Training Program |
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