Provider Demographics
NPI:1508824384
Name:GREYSON, CLIFFORD RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:RUSSELL
Last Name:GREYSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 N WHEELING STREET
Mailing Address - Street 2:CARDIOLOGY 111B, VAMC
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:207-723-6061
Mailing Address - Fax:720-723-7839
Practice Address - Street 1:1700 N WHEELING STREET
Practice Address - Street 2:CARDIOLOGY 111B, VAMC
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:720-723-6061
Practice Address - Fax:207-723-7839
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2021-08-20
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG64096207RC0000X, 207RC0200X
CO38234207RC0200X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine