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Individual

LYLE GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 537-6000
Mailing address
8446 S HARRISON ST, MIDVALE, UT 84047-3501
(801) 417-0131
(801) 255-5814

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50550
CO
207Q00000X
Family Medicine Physician
Primary
8211606-8904
UT
207Q00000X
Family Medicine Physician
N5084
TX

Other

Enumeration date
11/16/2010
Last updated
12/02/2021
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