Individual provider · Type 1 NPI
Stacy Robin Green, MD
General Practice Physician · Boulder, CO
NPI number
1558686162
Active
Practice location
825 S Broadway St Ste 100
Boulder, CO 80305-5932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | DR.0050364 (CO) |
| General Practice Physician Primary | 208D00000X | DR.0050364 (CO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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- Jordan Urban, MA, LPCCGeneral Practice Physician Boulder, CO NPI 1669023495
- Larry Eckstein, MDGeneral Practice Physician Boulder, CO NPI 1821000704
- Teresa Rebibo Fox, MDGeneral Practice Physician Boulder, CO NPI 1871735381
- Gary Bruce Clark, MDGeneral Practice Physician Boulder, CO NPI 1902962939
About NPI 1558686162
Stacy Robin Green, MD's National Provider Identifier is 1558686162, issued on Apr 7, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boulder, CO. The record was last updated on Oct 22, 2025.