Organization · NPI-2

Ann Grace, M.D., P.C.

Family Medicine · Centennial, CO

NPI number1790718526
StatusActive
Last updated in NPPESDec 6, 2011

Details

NPI
1790718526
Entity type
Organization (NPI-2)
Legal business name
Ann Grace, M.D., P.C.
Organization subpart
No
Enumeration date
Jul 7, 2006
Last updated
Dec 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300

Phone 720-528-3559 · Fax 720-528-9903

Mailing address

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300

Phone 720-528-3559 · Fax 720-528-9903

Authorized official

Richard Jay Drexelius
Vice President
3037408630

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