Individual
DR. JON NORMAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 RADIANT CT, WOODLAND PARK, CO 80863-9073
(719) 687-0850
(508) 300-5891
Mailing address
145 RADIANT CT, WOODLAND PARK, CO 80863-9073
(719) 687-0850
(508) 300-5891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33056
CO
207Q00000X
Family Medicine Physician
Primary
33056
CO
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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