| NPI | 1871262253 |
|---|---|
| Doing Business As | DR. STACY GREEN, M.D., LLC |
| Entity Type | Organization |
| Authorized Contact | STACY GREEN Owner 303-717-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |