Individual
DAVID M GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
274 IRON KING, DURANGO, CO 81301-9417
(970) 946-9017
Mailing address
274 IRON KING, DENVER, CO 81301-9417
(970) 946-9017
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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