Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stephen Green, PA-C

Individual provider Physician Assistant · NPI 1245774397

Mr. Stephen Green, PA-C is a Physician Assistant in Prescott, Arizona. Works from 2 locations. Licensed in Arizona and Utah.

Licensed in
AZ, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone: (928) 771-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12000 Big Cottonwood Canyon, Brighton, UT 84121 — (435) 776-7522

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6741 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 10126252-1206 (UT)

Record details

NPI number1245774397
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 8, 2016
Last updated in NPPESMarch 17, 2018

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