Individual
DR. BRUCE ALLEN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26498
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01264985
—
CO
Enumeration date
05/10/2006
Last updated
10/21/2013
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