Individual
DR. GRADY MICHAEL HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11005 RALSTON RD, SUITE 100G, ARVADA, CO 80004-4551
(303) 431-0844
(303) 456-6124
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 467-5355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0028219
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282193
—
CO
01
—
10354697
CAQH
CO
Enumeration date
09/26/2006
Last updated
03/07/2023
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