| Jeff Green Md Pc | |
|
1871 S 22nd Ave Ste 3 Bozeman MT 59718-7054 | |
| (406) 582-9306 | |
| (406) 205-1459 |
| Full Name | Jeff Green Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1871 S 22nd Ave Ste 3, Bozeman, Montana |
| Authorized Official Name and Position | Jeff Green (OWNER) |
| Authorized Official Contact | 4065829306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Green Md Pc 1871 S 22nd Ave Ste 3 Bozeman MT 59718-7054 Ph: (406) 582-9306 | Jeff Green Md Pc 1871 S 22nd Ave Ste 3 Bozeman MT 59718-7054 Ph: (406) 582-9306 |
| NPI Number | 1073984019 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073984019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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