Individual
JORDAN J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-1900
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007717
CO
363AM0700X
Medical Physician Assistant
10003309A
IN
363AS0400X
Surgical Physician Assistant
Primary
PA.0007717
CO
Other
Enumeration date
09/17/2021
Last updated
04/03/2025
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