Individual
ALEXANDER GRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6767 WEST 29TH STREET, 2ND FLOOR, GREELEY, CO 80634
(970) 652-2433
(970) 652-2252
Mailing address
6767 W 29TH STREET, 2ND FLOOR, GREELEY, CO 80634-5474
(970) 652-2433
(970) 652-2252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4167
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76103510
—
CO
Enumeration date
11/10/2014
Last updated
11/07/2019
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