Max Russell Greenlee JR.
Dermatologist
870 Juniper Ave
Boulder
, Colorado 80304-1724
Max Russell Greenlee JR.
Dermatologist
870 Juniper Ave
Boulder
, Colorado 80304-1724
(303) 442-3425
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Max Russell Greenlee JR.
- 870 Juniper Ave
- Boulder, CO
- Zip : 80304-1724
- Fax : (303) 442-3425
- Phone : (303) 442-3425
Second Address
- Max Russell Greenlee JR.
- 870 Juniper Ave
- Boulder, CO
- Zip : 80304-1724
- Fax : (303) 442-3425
- Phone : (303) 442-3425
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What type of doctor is Max Russell Greenlee JR.
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Is Max Russell Greenlee JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 12715 | CO |
National Provider Identifier
| NPI | 1033378567 |
|---|---|
| Provider Name | Max Russell Greenlee JR. |
| First Address | Boulder, CO 80304-1724 |
| Second Address | Boulder, CO 80304-1724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2008 |
| Last Update Date | 09/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.