Individual
DR. ROBERT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2299
(970) 564-2146
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0059515
CO
207Q00000X
Family Medicine Physician
OS6664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
11/24/2009
Last updated
07/10/2023
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