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Individual

DR. STACY ROBIN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 S BROADWAY ST STE 100, BOULDER, CO 80305-5932
(303) 717-2521
Mailing address
825 S BROADWAY ST STE 100, BOULDER, CO 80305-5932
(303) 717-2521

Taxonomy

Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
DR.0050364
CO
208D00000X
General Practice Physician
Primary
DR.0050364
CO

Other

Enumeration date
04/07/2010
Last updated
10/22/2025
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