Individual
FREDERICK LEE GROVER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 COOK ST, DENVER, CO 80206-5803
(303) 320-1530
Mailing address
6915 E BAYAUD AVE, DENVER, CO 80230-6727
(303) 367-2429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33720
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337203
—
CO
Enumeration date
06/17/2006
Last updated
07/08/2007
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