# TYLER J GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780849620
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 04-40433 | KS | — |
| 2085R0202X | Diagnostic Radiology Physician | 30330 | NE | — |
| 2085R0202X | Diagnostic Radiology Physician | 55471 | CO | — |
| 2085R0202X | Diagnostic Radiology Physician | MD166193 | OR | — |
| 2085R0202X | Diagnostic Radiology Physician | MD19335 | HI | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | DR.0055471 | CO | Yes |

## Other

- **Enumeration date:** 07/21/2008
- **Last updated:** 11/17/2023