Individual
FREDERICK DUFF GRAMBORT
Active
Individual
FREDERICK DUFF GRAMBORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82-53
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003
CIMARRON HEALTH PLAN
NM
01
—
16218
PHP PROVIDER NUMBER
NM
01
—
NM001088
BCBS PROVIDER NUMBER
NM
Enumeration date
07/28/2005
Last updated
07/13/2026
Update your record
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