Individual
ANDREW B GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
382 W 280 N, PROVIDENCE, UT 84332-9118
(435) 752-0330
(435) 755-0922
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12897926-1204
UT
Other
Enumeration date
05/01/2019
Last updated
09/26/2024
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