GABRIEL ESTES GREEN

FORT COLLINS, CO
NPI1891919296
Professional NameGABRIEL E GREEN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  45414)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036.117244)
207P00000X Emergency Medicine
(Licence: WY  7812A)
Enumeration Date2007-04-13
Last Update Date2014-05-13
Business Address
-- GABRIEL ESTES GREEN
1024 S LEMAY AVE
FORT COLLINS, CO 80524-3929
Phone number: 303-306-7783
Mailing Address
-- GABRIEL ESTES GREEN
PO BOX 912215
DENVER, CO 80291-2215
Phone number: 303-306-7783