Individual
PAUL J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 S POTOMAC ST, SUITE 124, AURORA, CO 80012-6165
(303) 368-8611
(303) 368-9791
Mailing address
1390 S POTOMAC ST, SUITE 124, AURORA, CO 80012-6165
(303) 368-8611
(303) 368-9791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17485
CO
Other
Enumeration date
08/18/2005
Last updated
09/25/2012
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