MIYOKO STEPHANIE GREEN

COLORADO SPRINGS, CO
NPI1063853893
Former NameMIYOKO G. IVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  pa0003732)
Enumeration Date2013-07-09
Last Update Date2018-11-26
Business Address
MIYOKO STEPHANIE GREEN PA-C
2446 RESEARCH PKWY SUITE 200
COLORADO SPRINGS, CO 80920-1087
Phone number: 719-623-1050
Mailing Address
MIYOKO STEPHANIE GREEN PA-C
2446 RESEARCH PKWY SUITE 200
COLORADO SPRINGS, CO 80920-1087
Phone number: 719-623-1050
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