JASON TRUMAN GREEN

FORT COLLINS, CO
NPI1790758233
Professional NameJASON T GREEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  43340)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: WY  IL036-110752)
Enumeration Date2006-02-07
Last Update Date2014-05-13
Business Address
-- JASON TRUMAN GREEN
1024 S LEMAY AVE
FORT COLLINS, CO 80524-3929
Phone number: 303-306-7783
Mailing Address
-- JASON TRUMAN GREEN
PO BOX 912215
DENVER, CO 80291-2215
Phone number: 303-306-7783