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Contact Information

DAVID M GREENBERG
274 IRON KING
DURANGO, CO81301-9417
 Phone: 970-946-9017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID M GREENBERG · (Male)

NPI Number 1003896408
Status Active
Credentials
Entity Individual
Enumeration date 01/20/2006
Last updated 04/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 44207
  • NM License # 2013-0110
  • OR License # MD22501
  • AZ Medicaid 868945
  • CO Medicaid 73338079
  • NM Medicaid 07150717
  • CO Other 44207 LICENSE
  • CO Other 534514YNJ MEDICARE PTAN
Hospital affiliation(s)
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    1010 THREE SPRINGS BLVD
    DURANGO, CO 81301
  • NORTHERN NAVAJO MEDICAL CENTER - (Acute Care)
    US HWY 491 NORTH
    SHIPROCK, NM 87420
  • REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES - (Acute Care)
    1901 RED ROCK DRIVE
    GALLUP, NM 87301
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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