Individual
SHAUNA MARIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 669-6660
Mailing address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 669-6660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR0056675
CO
Other
Enumeration date
05/08/2013
Last updated
09/20/2016
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