# JEFF GREEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073984019
- **Authorized official:** DR. JEFF GREEN MD (OWNER)
- **Authorized official phone:** (406) 582-9306

## Contact information

- **Practice address:** 1871 S 22ND AVE STE 3, BOZEMAN, MT 59718-7054
- **Practice address phone:** (406) 582-9306
- **Practice address fax:** (406) 205-1459
- **Mailing address:** 1871 S 22ND AVE STE 3, BOZEMAN, MT 59718-7054
- **Mailing address phone:** (406) 582-9306
- **Mailing address fax:** (406) 205-1459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 09/10/2021