Individual
DR. ZACHARY CARPENTER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(303) 318-1585
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0067476
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL0008049
CO
Other
Enumeration date
04/01/2020
Last updated
09/08/2025
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