Individual
TONI M GREEN-CHEATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2312 N NEVADA AVE, SUITE 3235, COLORADO SPRINGS, CO 80907-5302
(719) 571-8840
(719) 571-8845
Mailing address
2312 N NEVADA AVE, SUITE 235, COLORADO SPRINGS, CO 80907-5302
(719) 571-8840
(719) 571-8845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
104264
MN
208600000X
Surgery Physician
Primary
48792
CO
208600000X
Surgery Physician
52232
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/01/2007
Last updated
11/06/2012
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