Individual
DR. SCOTT R GROSSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82 PUUHONU PL, #102, HILO, HI 96720
(808) 961-4746
(808) 933-2532
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD5547
HI
2085R0202X
Diagnostic Radiology Physician
55947
CO
2085R0202X
Diagnostic Radiology Physician
Primary
MD5547
HI
2085R0204X
Vascular & Interventional Radiology Physician
MD5547
HI
2085U0001X
Diagnostic Ultrasound Physician
MD5547
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01206601
—
HI
Enumeration date
04/24/2006
Last updated
02/07/2023
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