Basic Information
| Provider Information | |||||||||
| NPI: | 1518937291 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GREENHOW | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9777 S YOSEMITE ST | ||||||||
| Address2: | 220 | ||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801243191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036997325 | ||||||||
| FaxNumber: | 3036595287 | ||||||||
| Practice Location | |||||||||
| Address1: | 9777 S YOSEMITE ST | ||||||||
| Address2: | 220 | ||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801243191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036997325 | ||||||||
| FaxNumber: | 3036595287 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 10/01/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 41362 | CO | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 53233816 | 05 | CO | MEDICAID |