Organization
FRED GROVER JR. M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED LEE GROVER JR. M.D. (PRESIDENT)
(303) 320-1530
Entity
Organization
Contact information
Practice address
5 COOK ST, DENVER, CO 80206-5803
(303) 320-1530
Mailing address
5 COOK ST, DENVER, CO 80206-5803
(303) 320-1530
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33720
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337203
—
CO
Enumeration date
06/12/2006
Last updated
07/21/2022
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