Organization
SCOTT M GREEN MD P C
Active
Other names
Academy Park Family Practice, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M GREEN MD (OWNER)
(303) 979-1559
Entity
Organization
Contact information
Practice address
7373 W JEFFERSON AVE, SUITE 201, LAKEWOOD, CO 80235-2038
(303) 979-1559
(303) 986-6895
Mailing address
7373 W JEFFERSON AVE, SUITE 201, LAKEWOOD, CO 80235-2038
(303) 979-1559
(303) 986-6895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29123
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801877519
—
CO
Enumeration date
01/03/2007
Last updated
07/21/2022
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