Green, Brandon C.

Green, Brandon C. is an individual health care provider with primary practice located at 3000 N Triumph Blvd Ste 110 , Lehi UT 84043-4999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Green, Brandon C. can be contacted via phone (385) 345-3555.

Contact Information

Primary practice address
3000 N Triumph Blvd Ste 110 Lehi UT 84043-4999
Phone: (385) 345-3555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 9374436-1205 Utah

Profile Details

NPI number 1184864563
LBN Legal business name Green, Brandon C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Jul 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184864563 NPPES
Utah MEDICAID 3004771

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