Patrick Green MD PLLC
Patrick Green MD PLLC is an Addiction Medicine (Family Medicine) Physician in Tooele, Utah. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
134 W 1180 N Ste # 5Tooele, UT 84074
Phone: (435) 248-0333
Fax: (435) 248-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1518256650 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patrick Green — Owner · (801) 792-7335 |
| Other names | Bonneville Family Practice |
| NPI enumerated | March 29, 2011 |
| Last updated in NPPES | December 27, 2024 |
| Certification date | December 27, 2024 |
| Mailing address | 134 W 1180 N Ste 5, Tooele, UT 84074-1483 |
Other providers in Tooele
-
Dr. Patrick Nelson Green, MD
134 W 1180 N Ste # 5, Tooele, UT 84074 · (435) 248-0333