DANIEL LUTHER GREEN

COLORADO SPRINGS, CO
NPI1932342094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-04-19
Last Update Date2009-04-19
Business Address
Mr. DANIEL LUTHER GREEN IDMT
1 NORAD RD
COLORADO SPRINGS, CO 80914-6001
Phone number: 719-474-3862
Mailing Address
Mr. DANIEL LUTHER GREEN IDMT
854 BAYFIELD WAY APT 302
COLORADO SPRINGS, CO 80906-4620
Phone number: 707-365-6924
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