Individual
GRANT GEBHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1266 ESCALANTE DR STE 301, DURANGO, CO 81303-8934
(970) 828-2200
(970) 828-2201
Mailing address
2300 E 30TH ST, STE N-105, FARMINGTON, NM 87401-8990
(970) 828-2200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0062913
CO
Other
Enumeration date
03/31/2015
Last updated
01/22/2025
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