Individual
DR. JONATHAN GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2222 N NEVADA AVE STE 5001, COLORADO SPRINGS, CO 80907-6865
(719) 776-3580
(719) 776-3599
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0070731
CO
2084V0102X
Vascular Neurology Physician
DR.0070731
CO
2085R0204X
Vascular & Interventional Radiology Physician
DR.0070731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000216893
—
CA
Enumeration date
03/24/2016
Last updated
01/30/2025
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