Fred Grossman, MD
Specialist in Denver, CO. Organization (NPI-2).
NPI number1043483589
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1043483589
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred Grossman, MD
- Organization subpart
- No
- Enumeration date
- Apr 4, 2008
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 16458 | CO | Yes |
Practice location
4200 W Conejos PlSuite 536
Denver, CO 80204-1333
Phone 303-571-1355 · Fax 303-571-1520
Mailing address
4200 W Conejos PlSuite 536
Denver, CO 80204-1333
Phone 303-571-1355 · Fax 303-571-1520
Authorized official
Fred Grossman
Owner
3035711355
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