Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL MATTHEW GREEN, D.O.
ActiveDR. MICHAEL MATTHEW GREEN, D.O. is a Pediatric Rehabilitation Medicine healthcare provider located in SALT LAKE CITY, Utah. NPI 1063665719 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1063665719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2008 (17.60829742209 yrs)
- Last Updated
- Dec 10, 2021
- Licenses
-
BP10031712 (TX)2011017820 (MO)8728465-1204 (UT)8728465-1204 (UT)
Practice Information
- Address
-
81 N MARIO CAPECCHI DRDEPARTMENT OF PEDIATRICSSALT LAKE CITY, UT, 841131125Browse UT providers · Browse ZIP 84113
- Phone
- 8012137737
- Fax
- 8015877539
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
- Additional Specialty
- Pediatric Rehabilitation Medicine
- Additional Specialty
- Brain Injury Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Rehabilitation Medicine
Other Pediatric Rehabilitation Medicine Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. NANCY A MURPHY | MD | 1922117977 |
| SHANE CARLSON DANGERFIELD | M.D. | 1457685919 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.