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Organization

FRED GROSSMAN, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED GROSSMAN MD (OWNER)
(303) 571-1355
Entity
Organization

Contact information

Practice address
4200 W CONEJOS PL, SUITE 536, DENVER, CO 80204-1333
(303) 571-1355
(303) 571-1520
Mailing address
4200 W CONEJOS PL, SUITE 536, DENVER, CO 80204-1333
(303) 571-1355
(303) 571-1520

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16458
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01164581
CO
Enumeration date
04/04/2008
Last updated
04/10/2008
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