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NPI Profile for Dr STACY R GREEN in BOULDER, CO.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Psychosomatic Medicine |
2084P0015X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1558686162 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/07/2010 | |
| Last updated | 10/22/2025 - About 7 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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STACY R GREEN
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STACY R GREEN, MD