Dr BRANDON C GREEN is a male medical professional, specializing in Interventional Pain Management. He graduated in 2007.
PHYSICIAN GROUP OF UTAH INC
3665 S 8400
SUITE 260
MAGNA
UT
840444912
Tel: 8019643925
| Npi | 1184864563 |
| Pac Id | 7416112214 |
| Professional Enrollment Id | I20171012002616 |
| Last Name | GREEN |
| First Name | BRANDON |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
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| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Group Practice Pac Id | 8022032234 |
| Number Of Group Practice Members | 149 |
| Line 1 Street Address | 3665 S 8400 |
| Line 2 Street Address | SUITE 260 |
| Marker Of Address Line 2 Suppression | |
| City | MAGNA |
| State | UT |
| Zip Code | 840444912 |
| Phone Number | 8019643925 |
| Hospital Affiliation Ccn 1 | 460051 |
| Hospital Affiliation Lbn 1 | JORDAN VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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