Individual
DR. JUSTIN MATTHEW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46657
CO
208800000X
Urology Physician
L8534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019144
KAISER COMMERCIAL NUMBER
CO
05
—
184893901
—
TX
05
—
46571736
—
CO
Enumeration date
01/18/2007
Last updated
02/20/2025
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