Individual
GRANT RUSSELL PLOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 724-6031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DR.0062470
CO
207NP0225X
Pediatric Dermatology Physician
Primary
DR.0062470
CO
Other
Enumeration date
04/16/2014
Last updated
05/10/2023
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