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Individual

DR. CRAIG M. GROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
716 S HIGHWAY 99, FILLMORE, UT 84631-5134
(435) 864-3333
(435) 864-2790
Mailing address
1055 NORTH 500 WEST ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3243941205
UT

Other

Enumeration date
06/03/2006
Last updated
11/13/2023
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