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Contact Information

RICHARD R GREEN, MD
5121 S COTTONWOOD STREET
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT84157
 Phone: 801-507-5248
 Fax: 801-733-5618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for RICHARD R GREEN · (Male)

NPI Number 1881603199
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 10/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 84-171901-1205
  • AZ Medicaid 828204
  • ID Medicaid 804072500
  • NV Medicaid 002086961
  • WY Medicaid 104848100
  • UT Other QM0000075886 ALTIUS
  • UT Other 20152 DESERET MUTUAL
  • UT Other 870545614GR2 EDUCATORS MUTUAL
  • UT Other 553237 HEALTHY U
  • UT Other 107007151101 IHC
  • UT Other TPRA06891 MOLINA
  • UT Other 37785 PEHP
  • UT Other 1502954 UMWA
  • UT Other 2090168 UNITED HEALTHCARE
  • UT Other 8597445 WORKERS COMP FUND
Hospital affiliation(s)
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • THE ORTHOPEDIC SPECIALTY HOSPITAL - (Acute Care)
    5848 SOUTH 300 EAST
    MURRAY, UT 84107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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