Dr Michael R Green PC
Orthopaedic Surgery in St George, UT. Organization (NPI-2).
NPI number1306964135
StatusActive
Last updated in NPPESJul 30, 2010
Details
- NPI
- 1306964135
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Michael R Green PC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2007
- Last updated
- Jul 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 287502-1205 | UT | Yes |
Practice location
1490 E Foremaster Dr260
St George, UT 84790-4488
Phone 435-688-0156 · Fax 435-688-0330
Mailing address
1490 E Foremaster Dr260
St George, UT 84790-4488
Phone 435-688-0156 · Fax 435-688-0330
Authorized official
Michael R Green
President
4356880156
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