Individual
BRUCE DAVID GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
(970) 384-4235
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
(970) 384-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
44277
CO
2085R0001X
Radiation Oncology Physician
ME4990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067391900
—
FL
05
—
70275343
—
CO
Enumeration date
08/02/2006
Last updated
04/10/2014
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