Individual
JENNIFER O GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
255 UNION BLVD, STE 200, LAKEWOOD, CO 80228-1810
(303) 763-5111
Mailing address
255 UNION BLVD, STE 200, LAKEWOOD, CO 80228-1810
(303) 763-5111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40743
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96573376
—
CO
Enumeration date
09/21/2006
Last updated
07/08/2007
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