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Patrick Green Md Pllc
Methadone Clinic in Tooele, Utah
NPI 1053187310

Patrick Green Md Pllc is a Methadone Clinic based in Tooele, UT and is specialized in Methadone. Patrick Green Md Pllc practices in Tooele, UT. The NPI Number for Patrick Green Md Pllc is 1053187310 and holds a License No. (Utah).

The current practice location address for Patrick Green Md Pllc is 134 W 1180 N Ste 4, Tooele, UT and can be reached out via phone at 435-248-0333 and via fax at 435-248-0334.

Location: 134 W 1180 N Ste 4, Tooele, UT, 84074-1483
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053187310
Provider Name
Patrick Green Md Pllc
Credential
Provider Entity Type
Organization
Address
134 W 1180 N Ste 4, Tooele, UT, 84074-1483
Phone Number
435-248-0333
Fax Number
435-248-0334
Provider Enumeration Date
11/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
134 W 1180 N Ste 4
City
Tooele
State
Utah
Zip
84074-1483
Phone Number
435-248-0333
Fax Number
435-248-0334
person
Provider Business Mailing Address Details
Address
134 W 1180 N Ste 4
City
Tooele
State
Utah
Zip
84074-1483
Phone Number
435-248-0333
Fax Number
435-248-0334
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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