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Individual
DAVID M GREENBERG
Active
Individual
DAVID M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44207
CO
207Q00000X
Family Medicine Physician
MD22501
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
2013-0110
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07150717
—
NM
01
—
44207
LICENSE
CO
01
—
534514YNJ
MEDICARE PTAN
CO
05
—
73338079
—
CO
05
—
868945
—
AZ
Enumeration date
01/20/2006
Last updated
04/05/2023
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