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Organization
JEFF GREEN MD PC
Active
Organization
JEFF GREEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF GREEN MD (OWNER)
(406) 582-9306
Entity
Organization
Contact information
Practice address
1871 S 22ND AVE STE 3, BOZEMAN, MT 59718-7054
(406) 582-9306
(406) 205-1459
Mailing address
1871 S 22ND AVE STE 3, BOZEMAN, MT 59718-7054
(406) 582-9306
(406) 205-1459
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
09/10/2021
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