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Individual

DR. RICHARD GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1 MERCADO ST, SUITE 105, DURANGO, CO 81301-7300
(970) 382-8800
(970) 382-0122
Mailing address
1 MERCADO ST, SUITE 105, DURANGO, CO 81301-7300
(970) 382-8800
(970) 382-0122

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20447
CO
207V00000X
Obstetrics & Gynecology Physician
70-135
NM

Other

Enumeration date
08/01/2006
Last updated
08/16/2007
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