Individual
JENNIFER B GRODBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3082
(303) 440-3281
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0058293
CO
Other
Enumeration date
02/08/2007
Last updated
01/24/2018
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